05D0607608 CLIA NUMBER - UNIVERSITY HEALTHCARE ALLIANCE

Laboratory Demographics

  • CLIA Code: 05D0607608
  • Facility Name: UNIVERSITY HEALTHCARE ALLIANCE
  • Facility Address: 50 E HAMILTON AVE STE 280
    CAMPBELL, CA
    ZIP 95008
  • Facility Phone: 408 227-2646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID L. PETERSON
  • NPI Number: 1760838247
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0607608
LAB Type Physician Office
Facility Name UNIVERSITY HEALTHCARE ALLIANCE
Street 50 E HAMILTON AVE STE 280
City CAMPBELL
State CA
ZIP 95008
Phone 408 227-2646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. DAVID L. PETERSON

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This page was last updated on: 3/20/2025