05D0692679 CLIA NUMBER - SUTTER BAY MEDICAL FOUNDATION HEALTH CARE DIVISION

Laboratory Demographics

  • CLIA Code: 05D0692679
  • Facility Name: SUTTER BAY MEDICAL FOUNDATION HEALTH CARE DIVISION
  • Facility Address: 795 EL CAMINO REAL, AMES BLDG 2ND FL
    PALO ALTO, CA
    ZIP 94301
  • Facility Phone: 650 853-4811
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JORGE RODRIGUEZ-SOTO
  • NPI Number: 1013950807
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0692679
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SUTTER BAY MEDICAL FOUNDATION HEALTH CARE DIVISION
Street 795 EL CAMINO REAL, AMES BLDG 2ND FL
City PALO ALTO
State CA
ZIP 94301
Phone 650 853-4811
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JORGE RODRIGUEZ-SOTO

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This page was last updated on: 3/20/2025