05D1051294 CLIA NUMBER - SAN MATEO COUNTY PUBLIC HEALTH CLINICS & PROGRAMS

Laboratory Demographics

  • CLIA Code: 05D1051294
  • Facility Name: SAN MATEO COUNTY PUBLIC HEALTH CLINICS & PROGRAMS
  • Facility Address: 222 39TH AVE, ROOM IRC043
    SAN MATEO, CA
    ZIP 94403
  • Facility Phone: 650 283-0687
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JENNIFER LIN
  • NPI Number: 1851799266
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1051294
LAB Type Community Clinic
Facility Name SAN MATEO COUNTY PUBLIC HEALTH CLINICS & PROGRAMS
Street 222 39TH AVE, ROOM IRC043
City SAN MATEO
State CA
ZIP 94403
Phone 650 283-0687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Community Clinic
Lab Director JENNIFER LIN

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