05D0964087 CLIA NUMBER - DARITH S KHAY MD INC

Laboratory Demographics

  • CLIA Code: 05D0964087
  • Facility Name: DARITH S KHAY MD INC
  • Facility Address: 200 JOSE FIGUERES, SUITE 315
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 408 254-1500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DARITH S. KHAY MD
  • NPI Number: 1295761609
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0964087
LAB Type Physician Office
Facility Name DARITH S KHAY MD INC
Street 200 JOSE FIGUERES, SUITE 315
City SAN JOSE
State CA
ZIP 95116
Phone 408 254-1500
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 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director DARITH S. KHAY MD

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