05D0883874 CLIA NUMBER - STANFORD BLOOD CENTER - MENLO PARK

Laboratory Demographics

  • CLIA Code: 05D0883874
  • Facility Name: STANFORD BLOOD CENTER - MENLO PARK
  • Facility Address: 445 BURGESS DR
    MENLO PARK, CA
    ZIP 94025
  • Facility Phone: 650 724-9916
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: THO C. PHAM MD
  • NPI Number: 1396633459
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0883874
LAB Type Blood Bank
Facility Name STANFORD BLOOD CENTER - MENLO PARK
Street 445 BURGESS DR
City MENLO PARK
State CA
ZIP 94025
Phone 650 724-9916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Blood Bank
Lab Director THO C. PHAM MD

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