05D2185576 CLIA NUMBER - STS LAB 1 LLC

Laboratory Demographics

  • CLIA Code: 05D2185576
  • Facility Name: STS LAB 1 LLC
  • Facility Address: 2302 TRADE ZONE BLVD RM 201
    SAN JOSE, CA
    ZIP 95131
  • Facility Phone: 201 724-2188
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARISSA LI
  • NPI Number: 1366049447
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2185576
LAB Type Independent
Facility Name STS LAB 1 LLC
Street 2302 TRADE ZONE BLVD RM 201
City SAN JOSE
State CA
ZIP 95131
Phone 201 724-2188
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/3/2022
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director DR. MARISSA LI

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