05D0592098 CLIA NUMBER - DAVID AND GAIL JACOBY MD

Laboratory Demographics

  • CLIA Code: 05D0592098
  • Facility Name: DAVID AND GAIL JACOBY MD
  • Facility Address: 1036 LAUREL STREET
    SAN CARLOS, CA
    ZIP 94070
  • Facility Phone: 415 631-7000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID A. JACOBY
  • NPI Number: 1801097043
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0592098
LAB Type Physician Office
Facility Name DAVID AND GAIL JACOBY MD
Street 1036 LAUREL STREET
City SAN CARLOS
State CA
ZIP 94070
Phone 415 631-7000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAVID A. JACOBY

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