05D1058796 CLIA NUMBER - DYRON J JUE, MD

Laboratory Demographics

CLIA Number: 05D1058796

Facility Name: DYRON J JUE, MD

Facility Address:
2101 FOREST AVE, STE 100
SAN JOSE, CA
ZIP 95128
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Facility Phone Number: 408 280-0755

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760484240

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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
CertificateType	4
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024