05D1052063 CLIA NUMBER - VI AT PALO ALTO

Laboratory Demographics

  • CLIA Code: 05D1052063
  • Facility Name: VI AT PALO ALTO
  • Facility Address: 600 SANDHILL ROAD
    PALO ALTO, CA
    ZIP 94304
  • Facility Phone: 650 853-5002
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: YUSRA HUSSAIN, MD
  • NPI Number: 1295774172
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1052063
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VI AT PALO ALTO
Street 600 SANDHILL ROAD
City PALO ALTO
State CA
ZIP 94304
Phone 650 853-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director YUSRA HUSSAIN, MD

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