05D2271204 CLIA NUMBER - PENINSULA HEIGHTS DIAGNOSTIC LABORATORIES, INC DBA PHDL

Laboratory Demographics

  • CLIA Code: 05D2271204
  • Facility Name: PENINSULA HEIGHTS DIAGNOSTIC LABORATORIES, INC DBA PHDL
  • Facility Address: 1720 EL CAMINO REAL STE 110
    BURLINGAME, CA
    ZIP 94010
  • Facility Phone: 415 601-5729
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHEN GERARD
  • NPI Number: 1407808579
  • Taxonomy: 207RS0012X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2271204
LAB Type Independent
Facility Name PENINSULA HEIGHTS DIAGNOSTIC LABORATORIES, INC DBA PHDL
Street 1720 EL CAMINO REAL STE 110
City BURLINGAME
State CA
ZIP 94010
Phone 415 601-5729
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/28/2022
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director STEPHEN GERARD

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