05D1056525 CLIA NUMBER - VERONICA HEREDIA, MD

Laboratory Demographics

  • CLIA Code: 05D1056525
  • Facility Name: VERONICA HEREDIA, MD
  • Facility Address: 2016 FOREST AVE SUITE #7
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 289-8410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VERONICA HEREDIA
  • NPI Number: 1457538860
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1056525
LAB Type Physician Office
Facility Name VERONICA HEREDIA, MD
Street 2016 FOREST AVE SUITE #7
City SAN JOSE
State CA
ZIP 95128
Phone 408 289-8410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director VERONICA HEREDIA

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