05D2005875 CLIA NUMBER - JOSELITO C CABACCAN, MD

Laboratory Demographics

  • CLIA Code: 05D2005875
  • Facility Name: JOSELITO C CABACCAN, MD
  • Facility Address: 2690 S WHITE RD, STE 50
    SAN JOSE, CA
    ZIP 95148
  • Facility Phone: 408 223-7000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOSELITO C. CABACCAN
  • NPI Number: 1801813720
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2005875
LAB Type Physician Office
Facility Name JOSELITO C CABACCAN, MD
Street 2690 S WHITE RD, STE 50
City SAN JOSE
State CA
ZIP 95148
Phone 408 223-7000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director JOSELITO C. CABACCAN

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