05D0923314 CLIA NUMBER - CHANNING HOUSE

Laboratory Demographics

  • CLIA Code: 05D0923314
  • Facility Name: CHANNING HOUSE
  • Facility Address: 850 WEBSTER ST
    PALO ALTO, CA
    ZIP 94301
  • Facility Phone: 650 327-0950
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA DAVIDSON
  • NPI Number: 1548427479
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0923314
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHANNING HOUSE
Street 850 WEBSTER ST
City PALO ALTO
State CA
ZIP 94301
Phone 650 327-0950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSICA DAVIDSON

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