05D1004646 CLIA NUMBER - ALEXANDER D DOAN, MD

Laboratory Demographics

  • CLIA Code: 05D1004646
  • Facility Name: ALEXANDER D DOAN, MD
  • Facility Address: 105 N BASCOM AVE STE 205
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 998-2890
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXANDER D. DOAN
  • NPI Number: 1003859661
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1004646
LAB Type Physician Office
Facility Name ALEXANDER D DOAN, MD
Street 105 N BASCOM AVE STE 205
City SAN JOSE
State CA
ZIP 95128
Phone 408 998-2890
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 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director ALEXANDER D. DOAN

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