05D0959009 CLIA NUMBER - FAMILY MEDICINE ASSOCIATES IN SAN JOSE

Laboratory Demographics

  • CLIA Code: 05D0959009
  • Facility Name: FAMILY MEDICINE ASSOCIATES IN SAN JOSE
  • Facility Address: 455 O'CONNOR DR, STE 210
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 510 363-5803
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW SCHECHTMAN
  • NPI Number: 1821500356
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D0959009
LAB Type Physician Office
Facility Name FAMILY MEDICINE ASSOCIATES IN SAN JOSE
Street 455 O'CONNOR DR, STE 210
City SAN JOSE
State CA
ZIP 95128
Phone 510 363-5803
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/31/2023
Certificate Expiration Date 3/30/2025
Facility Type Physician Office
Lab Director ANDREW SCHECHTMAN

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This page was last updated on: 3/20/2025