05D2142759 CLIA NUMBER - MIND AND BODY PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 05D2142759
  • Facility Name: MIND AND BODY PAIN CLINIC
  • Facility Address: 6010 HELLYER AVENUE
    SAN JOSE, CA
    ZIP 95138
  • Facility Phone: 408 677-3101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARPREET SINGH
  • NPI Number: 1811265390
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2142759
LAB Type Physician Office
Facility Name MIND AND BODY PAIN CLINIC
Street 6010 HELLYER AVENUE
City SAN JOSE
State CA
ZIP 95138
Phone 408 677-3101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director HARPREET SINGH

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