05D1058796 CLIA NUMBER - DYRON J JUE, MD

Laboratory Demographics

  • CLIA Code: 05D1058796
  • Facility Name: DYRON J JUE, MD
  • Facility Address: 2101 FOREST AVE, STE 100
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 280-0755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DYRON J. JUE
  • NPI Number: 1760484240
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1058796
LAB Type Physician Office
Facility Name DYRON J JUE, MD
Street 2101 FOREST AVE, STE 100
City SAN JOSE
State CA
ZIP 95128
Phone 408 280-0755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director DYRON J. JUE

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