05D2302650 CLIA NUMBER - SILICON VALLEY MEDICAL DEVELOPMENT LLC

Laboratory Demographics

  • CLIA Code: 05D2302650
  • Facility Name: SILICON VALLEY MEDICAL DEVELOPMENT LLC
  • Facility Address: 2505 SAMARITAN DR STE 201
    SAN JOSE, CA
    ZIP 95124
  • Facility Phone: 408 871-3274
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK WHERRY
  • NPI Number: 1639275753
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2302650
LAB Type Physician Office
Facility Name SILICON VALLEY MEDICAL DEVELOPMENT LLC
Street 2505 SAMARITAN DR STE 201
City SAN JOSE
State CA
ZIP 95124
Phone 408 871-3274
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director PATRICK WHERRY

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