05D0725929 CLIA NUMBER - MILLBRAE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0725929
  • Facility Name: MILLBRAE CARE CENTER
  • Facility Address: 33 MATEO AVE
    MILLBRAE, CA
    ZIP 94030
  • Facility Phone: 650 689-5784
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH JENSEN
  • NPI Number: 1609429638
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0725929
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLBRAE CARE CENTER
Street 33 MATEO AVE
City MILLBRAE
State CA
ZIP 94030
Phone 650 689-5784
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 ELIZABETH JENSEN

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