05D0591414 CLIA NUMBER - LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 05D0591414
  • Facility Name: LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER
  • Facility Address: 809 FREMONT AVENUE
    LOS ALTOS, CA
    ZIP 94024
  • Facility Phone: 650 941-5255
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MEHRDAD K. AYATI MD
  • NPI Number: 1043345812
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0591414
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER
Street 809 FREMONT AVENUE
City LOS ALTOS
State CA
ZIP 94024
Phone 650 941-5255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MEHRDAD K. AYATI MD

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