05D0689164 CLIA NUMBER - BARBARA L KORTHAMAR

Laboratory Demographics

  • CLIA Code: 05D0689164
  • Facility Name: BARBARA L KORTHAMAR
  • Facility Address: 1280 SCOTT BLVD
    SANTA CLARA, CA
    ZIP 95050
  • Facility Phone: 408 248-2035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA L. KORTHAMAR
  • NPI Number: 1447260096
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0689164
LAB Type Physician Office
Facility Name BARBARA L KORTHAMAR
Street 1280 SCOTT BLVD
City SANTA CLARA
State CA
ZIP 95050
Phone 408 248-2035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director BARBARA L. KORTHAMAR

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