05D1017560 CLIA NUMBER - FAREEDA N ADEEB MD

Laboratory Demographics

  • CLIA Code: 05D1017560
  • Facility Name: FAREEDA N ADEEB MD
  • Facility Address: 275 O'CONNOR DR STE B
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 279-8798
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAREEDA N. ADEEB MD
  • NPI Number: 1700880218
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1017560
LAB Type Physician Office
Facility Name FAREEDA N ADEEB MD
Street 275 O'CONNOR DR STE B
City SAN JOSE
State CA
ZIP 95128
Phone 408 279-8798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director FAREEDA N. ADEEB MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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