05D0932439 CLIA NUMBER - GLORIA F LO, M D , INC

Laboratory Demographics

  • CLIA Code: 05D0932439
  • Facility Name: GLORIA F LO, M D , INC
  • Facility Address: 10050 IMPERIAL AVENUE
    CUPERTINO, CA
    ZIP 95014
  • Facility Phone: 408 865-0936
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLORIA F. LO MD
  • NPI Number: 1487626693
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0932439
LAB Type Physician Office
Facility Name GLORIA F LO, M D , INC
Street 10050 IMPERIAL AVENUE
City CUPERTINO
State CA
ZIP 95014
Phone 408 865-0936
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director GLORIA F. LO MD

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