05D2320875 CLIA NUMBER - COMMUNITY TESTING

Laboratory Demographics

  • CLIA Code: 05D2320875
  • Facility Name: COMMUNITY TESTING
  • Facility Address: 750 STORY RD
    SAN JOSE, CA
    ZIP 95122
  • Facility Phone: 269 598-1372
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: VINCENT LE
  • NPI Number: 1790598936
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2320875
LAB Type Independent
Facility Name COMMUNITY TESTING
Street 750 STORY RD
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 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Independent
Lab Director VINCENT LE

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