05D0607602 CLIA NUMBER - TERRENCE R DWYRE MD

Laboratory Demographics

  • CLIA Code: 05D0607602
  • Facility Name: TERRENCE R DWYRE MD
  • Facility Address: 393 BLOSSOM HILL ROAD SUITE 210
    SAN JOSE, CA
    ZIP 95123
  • Facility Phone: 408 226-5465
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TERRENCE R. DWYRE MD
  • NPI Number: 1437326378
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0607602
LAB Type Physician Office
Facility Name TERRENCE R DWYRE MD
Street 393 BLOSSOM HILL ROAD SUITE 210
City SAN JOSE
State CA
ZIP 95123
Phone 408 226-5465
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 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director TERRENCE R. DWYRE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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