05D2204278 CLIA NUMBER - PENINSULA DEL REY

Laboratory Demographics

  • CLIA Code: 05D2204278
  • Facility Name: PENINSULA DEL REY
  • Facility Address: 165 PIERCE STREET
    DALY CITY, CA
    ZIP 94015
  • Facility Phone: 650 992-2100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOHN M. GEISS DO
  • NPI Number: 1043335227
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2204278
LAB Type Assisted Living Facility
Facility Name PENINSULA DEL REY
Street 165 PIERCE STREET
City DALY CITY
State CA
ZIP 94015
Phone 650 992-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Assisted Living Facility
Lab Director JOHN M. GEISS DO

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