05D2272472 CLIA NUMBER - AFC URGENT CARE SANTA CLARA

Laboratory Demographics

CLIA Number: 05D2272472

Facility Name: AFC URGENT CARE SANTA CLARA

Facility Address:
594 EL CAMINO REAL
SANTA CLARA, CA
ZIP 95050
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Facility Phone Number: 408 821-4449

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215680699

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2272472
LAB Type	Physician Office
Facility Name	AFC URGENT CARE SANTA CLARA
Street	594 EL CAMINO REAL
City	SANTA CLARA
State	CA
ZIP	95050
Phone	408 821-4449
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024