05D2220749 CLIA NUMBER - CONVERGENT GENOMICS

Laboratory Demographics

  • CLIA Code: 05D2220749
  • Facility Name: CONVERGENT GENOMICS
  • Facility Address: 425 ECCLES AVE, 2ND FL
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Facility Phone: 415 839-0077
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BRADDEN W. JENSEN
  • NPI Number: 1922757210
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2220749
LAB Type Independent
Facility Name CONVERGENT GENOMICS
Street 425 ECCLES AVE, 2ND FL
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Phone 415 839-0077
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Independent
Lab Director DR. BRADDEN W. JENSEN

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