05D2270051 CLIA NUMBER - COMPASS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2270051
  • Facility Name: COMPASS MEDICAL CLINIC
  • Facility Address: 1340 TULLY RD STE 309
    SAN JOSE, CA
    ZIP 95122
  • Facility Phone: 408 993-8536
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GINA N. BUI
  • NPI Number: 1457935884
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2270051
LAB Type Physician Office
Facility Name COMPASS MEDICAL CLINIC
Street 1340 TULLY RD STE 309
City SAN JOSE
State CA
ZIP 95122
Phone 408 993-8536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director GINA N. BUI

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