05D0892832 CLIA NUMBER - VADEN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0892832
  • Facility Name: VADEN HEALTH CENTER
  • Facility Address: 866 CAMPUS DRIVE
    STANFORD, CA
    ZIP 94305
  • Facility Phone: 650 498-2336
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: JAMES R. JACOBS MD
  • NPI Number: 1134679103
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0892832
LAB Type School/Student Health Service
Facility Name VADEN HEALTH CENTER
Street 866 CAMPUS DRIVE
City STANFORD
State CA
ZIP 94305
Phone 650 498-2336
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type School/Student Health Service
Lab Director JAMES R. JACOBS MD

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This page was last updated on: 6/4/2025