05D0869831 CLIA NUMBER - R MICHAEL CONTRO MD INC

Laboratory Demographics

  • CLIA Code: 05D0869831
  • Facility Name: R MICHAEL CONTRO MD INC
  • Facility Address: 15251 NATIONAL AVENUE STE 106
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 356-5111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: R M. CONTRO MD
  • NPI Number: 1134269715
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0869831
LAB Type Physician Office
Facility Name R MICHAEL CONTRO MD INC
Street 15251 NATIONAL AVENUE STE 106
City LOS GATOS
State CA
ZIP 95032
Phone 408 356-5111
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 R M. CONTRO MD

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