05D0685659 CLIA NUMBER - LUCY M SCHMIDT MD

Laboratory Demographics

  • CLIA Code: 05D0685659
  • Facility Name: LUCY M SCHMIDT MD
  • Facility Address: 77 N SAN MATEO DRIVE SUITE 3
    SAN MATEO, CA
    ZIP 94401
  • Facility Phone: 415 344-4142
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUCY M. SCHMIDT
  • NPI Number: 1194789628
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0685659
LAB Type Physician Office
Facility Name LUCY M SCHMIDT MD
Street 77 N SAN MATEO DRIVE SUITE 3
City SAN MATEO
State CA
ZIP 94401
Phone 415 344-4142
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LUCY M. SCHMIDT

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