05D2058640 CLIA NUMBER - ACTION URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2058640
  • Facility Name: ACTION URGENT CARE
  • Facility Address: 1375 BLOSSOM HILL RD, STE 49
    SAN JOSE, CA
    ZIP 95118
  • Facility Phone: 408 645-7073
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VLADIMIR G. SKOROKHOD
  • NPI Number: 1205186442
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2058640
LAB Type Physician Office
Facility Name ACTION URGENT CARE
Street 1375 BLOSSOM HILL RD, STE 49
City SAN JOSE
State CA
ZIP 95118
Phone 408 645-7073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director VLADIMIR G. SKOROKHOD

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