05D0607998 CLIA NUMBER - PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH & EDUCATION

Laboratory Demographics

  • CLIA Code: 05D0607998
  • Facility Name: PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH & EDUCATION
  • Facility Address: 2581 SAMARITAN DR STE 306
    SAN JOSE, CA
    ZIP 95124
  • Facility Phone: 408 402-9210
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: ALEXIS H. KIM MD
  • NPI Number: 1710601281
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0607998
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH & EDUCATION
Street 2581 SAMARITAN DR STE 306
City SAN JOSE
State CA
ZIP 95124
Phone 408 402-9210
Certificate Type Certificate of Accreditation
Certificate Type Description 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.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ALEXIS H. KIM MD

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