05D2281583 CLIA NUMBER - CENTRAL MEDICAL CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2281583
  • Facility Name: CENTRAL MEDICAL CENTER, INC
  • Facility Address: 2344 EL CAMINO REAL, SUITE 105
    SANTA CLARA, CA
    ZIP 95050
  • Facility Phone: 408 249-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KISUK J. CHO
  • NPI Number: 1497928360
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2281583
LAB Type Physician Office
Facility Name CENTRAL MEDICAL CENTER, INC
Street 2344 EL CAMINO REAL, SUITE 105
City SANTA CLARA
State CA
ZIP 95050
Phone 408 249-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director KISUK J. CHO

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