05D2198465 CLIA NUMBER - MEDICAL PAILLION PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2198465
  • Facility Name: MEDICAL PAILLION PHARMACY
  • Facility Address: 9460 NO NAME UNO STE 100
    GILROY, CA
    ZIP 95020
  • Facility Phone: 408 842-2001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID KIEU
  • NPI Number: 1205972254
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2198465
LAB Type Pharmacy
Facility Name MEDICAL PAILLION PHARMACY
Street 9460 NO NAME UNO STE 100
City GILROY
State CA
ZIP 95020
Phone 408 842-2001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Pharmacy
Lab Director DAVID KIEU

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