05D0643914 CLIA NUMBER - IGENEX INC

Laboratory Demographics

  • CLIA Code: 05D0643914
  • Facility Name: IGENEX INC
  • Facility Address: 556 GILBRALTAR DR
    MILPITAS, CA
    ZIP 95035
  • Facility Phone: 650 424-1191
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JYOTSNA S. SHAH
  • NPI Number: 1396837605
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0643914
LAB Type Independent
Facility Name IGENEX INC
Street 556 GILBRALTAR DR
City MILPITAS
State CA
ZIP 95035
Phone 650 424-1191
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/20/2021
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director JYOTSNA S. SHAH

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