05D0993146 CLIA NUMBER - LORNALYN CARRILLO MD

Laboratory Demographics

  • CLIA Code: 05D0993146
  • Facility Name: LORNALYN CARRILLO MD
  • Facility Address: 1800 SULLIVAN AVENUE SUITE #101
    DALY CITY, CA
    ZIP 94015
  • Facility Phone: 650 904-0459
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORNALYN CARRILLO MD
  • NPI Number: 1558383844
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0993146
LAB Type Physician Office
Facility Name LORNALYN CARRILLO MD
Street 1800 SULLIVAN AVENUE SUITE #101
City DALY CITY
State CA
ZIP 94015
Phone 650 904-0459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director LORNALYN CARRILLO MD

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