05D2305909 CLIA NUMBER - PATIENT PAYMENT AGENT DBA MY COMMUNITY TESTING

Laboratory Demographics

  • CLIA Code: 05D2305909
  • Facility Name: PATIENT PAYMENT AGENT DBA MY COMMUNITY TESTING
  • Facility Address: 750 STORY ROAD SUITE 12
    SAN JOSE, CA
    ZIP 95122
  • Facility Phone: 269 598-1372
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: MICHAEL MCGINNIS
  • NPI Number: 1487271300
  • Taxonomy: 207KI0005X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 05D2305909
LAB Type Health Main. Organization
Facility Name PATIENT PAYMENT AGENT DBA MY COMMUNITY TESTING
Street 750 STORY ROAD SUITE 12
City SAN JOSE
State CA
ZIP 95122
Phone 269 598-1372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Health Main. Organization
Lab Director MICHAEL MCGINNIS

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