05D0927199 CLIA NUMBER - JEAN GORDON, MD PHD INC

Laboratory Demographics

  • CLIA Code: 05D0927199
  • Facility Name: JEAN GORDON, MD PHD INC
  • Facility Address: 2660 SOLACE PL STE C
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 938-6559
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEAN GORDON, MD
  • NPI Number: 1306920822
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0927199
LAB Type Physician Office
Facility Name JEAN GORDON, MD PHD INC
Street 2660 SOLACE PL STE C
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 650 938-6559
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 10/27/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JEAN GORDON, MD

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