CONVERGENT GENOMICS, INC.
NPI 1922757210
Clinical Medical Laboratory in South San Francisco, CA

Active since March 22, 2022CLIA 05D2220749 · Accreditation
425 ECCLES AVE FL 2, SOUTH SAN FRANCISCO, CA 94080(415) 839-0077 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Convergent Genomics, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVERGENT GENOMICS, INC. (NPI 1922757210) is a healthcare organization registered as a clinical medical laboratory in South San Francisco, California and active in the NPI registry since March 2022. The organization holds an CLIA Accreditation certificate valid through February 28, 2028 and lists Trevor Levin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922757210
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCONVERGENT GENOMICS, INC.
Location Address425 ECCLES AVE FL 2South San Francisco, CA 94080-1902
Mailing Address425 Eccles Ave Fl 2South San Francisco, CA 94080-1902 · (415) 839-0077
Organization SubpartNo
Authorized OfficialTrevor LevinCeo · (415) 839-0077
Enumeration DateMarch 22, 2022
Last NPPES UpdateApril 4, 2022
NPPES CertifiedMarch 24, 2022
NPI 1922757210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

425 ECCLES AVE FL 2, South San Francisco, CA 94080

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2220749

Convergent Genomics · South San Francisco, CA
Active · expires Feb 28, 2028
CLIA Number05D2220749
Laboratory TypeIndependent
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorDr. Bradden W. Jensen
Laboratory Phone(415) 839-0077
Laboratory LocationConvergent Genomics425 Eccles Ave, 2nd Fl, South San Francisco, CA 94080
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922757210, enumerated as an "organization" on March 22, 2022.

The provider is located at 425 ECCLES AVE FL 2 SOUTH SAN FRANCISCO, CA 94080 and the phone number is (415) 839-0077.

Clinical Medical Laboratory with taxonomy code 291U00000X.