05D0692679 CLIA NUMBER - SUTTER BAY MEDICAL FOUNDATION

Laboratory Demographics

CLIA Number: 05D0692679

Facility Name: SUTTER BAY MEDICAL FOUNDATION

Facility Address:
795 EL CAMINO REAL, AMES BLDG 2ND FL
PALO ALTO, CA
ZIP 94301
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Facility Phone Number: (650) 853-4811

Facility Type: ANCILLARY TEST SITE

Certificate Type: Certificate of Compliance

NPI Number: 1013950807

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0692679
LAB Type	ANCILLARY TEST SITE
Facility Name	SUTTER BAY MEDICAL FOUNDATION
Street	795 EL CAMINO REAL, AMES BLDG 2ND FL
City	PALO ALTO
State	CA
ZIP	94301
Phone	(650) 853-4811

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This page was last updated on: 5/11/2023