05D0709619 CLIA NUMBER - KENNETH MILLER A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0709619
  • Facility Name: KENNETH MILLER A MEDICAL CORPORATION
  • Facility Address: 14537 S BASCOM AVE
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 356-9111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KENNETH A. MILLER MD
  • NPI Number: 1609810787
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0709619
LAB Type Physician Office
Facility Name KENNETH MILLER A MEDICAL CORPORATION
Street 14537 S BASCOM AVE
City LOS GATOS
State CA
ZIP 95032
Phone 408 356-9111
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 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director KENNETH A. MILLER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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