05D2263075 CLIA NUMBER - SUN PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2263075
  • Facility Name: SUN PHARMACY
  • Facility Address: 2559 S KING RD STE B 10
    SAN JOSE, CA
    ZIP 95122
  • Facility Phone: 408 440-2077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THANH LE
  • NPI Number: 1336508308
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2263075
LAB Type Pharmacy
Facility Name SUN PHARMACY
Street 2559 S KING RD STE B 10
City SAN JOSE
State CA
ZIP 95122
Phone 408 440-2077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Pharmacy
Lab Director THANH LE

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