05D2020148 CLIA NUMBER - JENNIFER JEWELL-LARSEN NATUROPATHIC DOCTOR INC

Laboratory Demographics

  • CLIA Code: 05D2020148
  • Facility Name: JENNIFER JEWELL-LARSEN NATUROPATHIC DOCTOR INC
  • Facility Address: 1688 WILLOW ST STE C
    SAN JOSE, CA
    ZIP 95125
  • Facility Phone: 408 356-1364
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER JEWELL-LARSEN, ND
  • NPI Number: 1447746904
  • Taxonomy: 106S00000X - Behavior Technician

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CLIA Record

Field Name Field Value
CLIA Number 05D2020148
LAB Type Physician Office
Facility Name JENNIFER JEWELL-LARSEN NATUROPATHIC DOCTOR INC
Street 1688 WILLOW ST STE C
City SAN JOSE
State CA
ZIP 95125
Phone 408 356-1364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director JENNIFER JEWELL-LARSEN, ND

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