05D2183325 CLIA NUMBER - UNIVERSITY HEALTHCARE ALLIANCE/SAMARITAN INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 05D2183325

Facility Name: UNIVERSITY HEALTHCARE ALLIANCE/SAMARITAN INTERNAL MEDICINE

Facility Address:
2410 SAMARITAN DRIVE, SUITE 201
SAN JOSE, CA
ZIP 95124
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Facility Phone Number: 408 371-9010

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1659877306

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D2183325
LAB Type Physician Office
Facility Name UNIVERSITY HEALTHCARE ALLIANCE/SAMARITAN INTERNAL MEDICINE
Street 2410 SAMARITAN DRIVE, SUITE 201
City SAN JOSE
State CA
ZIP 95124
Phone 408 371-9010
CertificateType 3
CertificateEffectiveDate 5/4/2024
CertificateExpirationDate 5/3/2026
FacilityType PPMP

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