05D2199164 CLIA NUMBER - SAN JOSE SPECIALTY CARE SURGERY

Laboratory Demographics

  • CLIA Code: 05D2199164
  • Facility Name: SAN JOSE SPECIALTY CARE SURGERY
  • Facility Address: 150 N JACKSON AVE STE 107
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 951 734-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHURAM A. SIAL
  • NPI Number: 1952532194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2199164
LAB Type Physician Office
Facility Name SAN JOSE SPECIALTY CARE SURGERY
Street 150 N JACKSON AVE STE 107
City SAN JOSE
State CA
ZIP 95116
Phone 951 734-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director KHURAM A. SIAL

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