05D2239171 CLIA NUMBER - SOUTH VALLEY NEUROLOGY

Laboratory Demographics

  • CLIA Code: 05D2239171
  • Facility Name: SOUTH VALLEY NEUROLOGY
  • Facility Address: 18431 TECHNOLOGY DRIVE
    MONTARA, CA
    ZIP 94037
  • Facility Phone: 408 778-4886
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZEPURE KOUYOUMGJIAN
  • NPI Number: 1306125935
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2239171
LAB Type Physician Office
Facility Name SOUTH VALLEY NEUROLOGY
Street 18431 TECHNOLOGY DRIVE
City MONTARA
State CA
ZIP 94037
Phone 408 778-4886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director ZEPURE KOUYOUMGJIAN

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