05D1051294 CLIA NUMBER - SAN MATEO COUNTY CLINICS & PROGRAMS

Laboratory Demographics

CLIA Number: 05D1051294

Facility Name: SAN MATEO COUNTY CLINICS & PROGRAMS

Facility Address:
222 39TH AVE
SAN MATEO, CA
ZIP 94403
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Facility Phone Number: 650 573-2263

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1851799266

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D1051294
LAB Type	Public Health Laboratories
Facility Name	SAN MATEO COUNTY CLINICS & PROGRAMS
Street	222 39TH AVE
City	SAN MATEO
State	CA
ZIP	94403
Phone	650 573-2263
CertificateType	4
CertificateEffectiveDate	8/3/2022
CertificateExpirationDate	8/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024