CLIA lab

CLIA 05D2077548: Executive Surgery Center Inc

Danville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2077548 belongs to Executive Surgery Center Inc in Danville, CA.

Certificate of Waiver, effective October 21, 2024, expiration date October 20, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 21, 2024
Certificate expiration
October 20, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
May 9, 2014
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2077548
Lab name
Executive Surgery Center Inc
Address
1320 El Capitan Dr Ste 100, Danville, CA 94526
Phone
(925) 866-9300
Fax
(925) 952-7066

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Executive Surgery Center Inc in Danville?

05D2077548, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Executive Surgery Center Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2077548 expire?

The CMS file lists October 20, 2026 as the certificate expiration date; the certificate took effect October 21, 2024.

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