05D2306503 CLIA NUMBER - EVERSIDE HEALTH GILROY

Laboratory Demographics

  • CLIA Code: 05D2306503
  • Facility Name: EVERSIDE HEALTH GILROY
  • Facility Address: 7872 EIGLEBERRY ST
    GILROY, CA
    ZIP 95020
  • Facility Phone: 650 800-9976
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. LANDSBERG
  • NPI Number: 1225729445
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2306503
LAB Type Physician Office
Facility Name EVERSIDE HEALTH GILROY
Street 7872 EIGLEBERRY ST
City GILROY
State CA
ZIP 95020
Phone 650 800-9976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director JOHN M. LANDSBERG

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