05D2185497 CLIA NUMBER - THEODORE CHOW, MD

Laboratory Demographics

  • CLIA Code: 05D2185497
  • Facility Name: THEODORE CHOW, MD
  • Facility Address: 175 NORTH JACKSON AVE SUITE 111
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 408 240-5960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THEODORE CHOW
  • NPI Number: 1104803048
  • Taxonomy: 207RC0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2185497
LAB Type Physician Office
Facility Name THEODORE CHOW, MD
Street 175 NORTH JACKSON AVE SUITE 111
City SAN JOSE
State CA
ZIP 95116
Phone 408 240-5960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director THEODORE CHOW

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