05D0685015 CLIA NUMBER - DAVID A LEWIS MD INC

Laboratory Demographics

  • CLIA Code: 05D0685015
  • Facility Name: DAVID A LEWIS MD INC
  • Facility Address: 2204 GRANT RD STE 103
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 415 967-8891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. LEWIS
  • NPI Number: 1699154807
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0685015
LAB Type Physician Office
Facility Name DAVID A LEWIS MD INC
Street 2204 GRANT RD STE 103
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 415 967-8891
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 DAVID A. LEWIS

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