05D0917036 CLIA NUMBER - STANFORD BLOOD CENTER - MOUNTAIN VIEW

Laboratory Demographics

  • CLIA Code: 05D0917036
  • Facility Name: STANFORD BLOOD CENTER - MOUNTAIN VIEW
  • Facility Address: 515 SOUTH DR STE 20
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 724-9916
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: THO D. PHAM, MD
  • NPI Number: 1063236453
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 05D0917036
LAB Type Blood Bank
Facility Name STANFORD BLOOD CENTER - MOUNTAIN VIEW
Street 515 SOUTH DR STE 20
City MOUNTAIN VIEW
State CA
ZIP 94040
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 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Blood Bank
Lab Director THO D. PHAM, MD

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