05D2305026 CLIA NUMBER - CALLISTA SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2305026
  • Facility Name: CALLISTA SURGERY CENTER, LLC
  • Facility Address: 355 LENNON LN, STE 275
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 357-9050
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAHUL SETH
  • NPI Number: 1144090390
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2305026
LAB Type Ambulatory Surgery Center
Facility Name CALLISTA SURGERY CENTER, LLC
Street 355 LENNON LN, STE 275
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 357-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Ambulatory Surgery Center
Lab Director RAHUL SETH

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This page was last updated on: 9/29/2025