05D2157922 CLIA NUMBER - AC WELLNESS

Laboratory Demographics

CLIA Number: 05D2157922

Facility Name: AC WELLNESS

Facility Address:
280 NORTH WOLFE ROAD
SUNNYVALE, CA
ZIP 94085
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Facility Phone Number: 408 783-4000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063026292

Taxonomy: 261QC1800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2157922
LAB Type	Physician Office
Facility Name	AC WELLNESS
Street	280 NORTH WOLFE ROAD
City	SUNNYVALE
State	CA
ZIP	94085
Phone	408 783-4000
CertificateType	3
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024