05D1028655 CLIA NUMBER - SANTA CLARA COUNTY PUBLIC HLTH DEPT OA C&T PROGRAM

Laboratory Demographics

  • CLIA Code: 05D1028655
  • Facility Name: SANTA CLARA COUNTY PUBLIC HLTH DEPT OA C&T PROGRAM
  • Facility Address: 976 LENZEN AVENUE, 1ST FLOOR
    SAN JOSE, CA
    ZIP 95126
  • Facility Phone: 408 885-4272
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: AKANKSHA VAIDYA
  • NPI Number: 1225166317
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1028655
LAB Type Public Health Laboratories
Facility Name SANTA CLARA COUNTY PUBLIC HLTH DEPT OA C&T PROGRAM
Street 976 LENZEN AVENUE, 1ST FLOOR
City SAN JOSE
State CA
ZIP 95126
Phone 408 885-4272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Public Health Laboratories
Lab Director AKANKSHA VAIDYA

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