05D0664857 CLIA NUMBER - WILLIE D LU MD

Laboratory Demographics

  • CLIA Code: 05D0664857
  • Facility Name: WILLIE D LU MD
  • Facility Address: 320 DARDANELLI LANE STE 21-B
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 866-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIE D. LU
  • NPI Number: 1114959558
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0664857
LAB Type Physician Office
Facility Name WILLIE D LU MD
Street 320 DARDANELLI LANE STE 21-B
City LOS GATOS
State CA
ZIP 95032
Phone 408 866-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director WILLIE D. LU

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