05D2128922 CLIA NUMBER - AC WELLNESS

Laboratory Demographics

  • CLIA Code: 05D2128922
  • Facility Name: AC WELLNESS
  • Facility Address: 19500 E HOMESTEAD RD
    CUPERTINO, CA
    ZIP 95014
  • Facility Phone: 408 783-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN C. YEE
  • NPI Number: 1306348172
  • Taxonomy: 261QC1800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2128922
LAB Type Physician Office
Facility Name AC WELLNESS
Street 19500 E HOMESTEAD RD
City CUPERTINO
State CA
ZIP 95014
Phone 408 783-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director MARTIN C. YEE

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