05D1058957 CLIA NUMBER - SAN BRUNO CBOC

Laboratory Demographics

  • CLIA Code: 05D1058957
  • Facility Name: SAN BRUNO CBOC
  • Facility Address: 1001 SNEATH LANE SUITE 300 RM 15
    SAN BRUNO, CA
    ZIP 94066
  • Facility Phone: 650 553-8013
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: STEPHEN COOK
  • NPI Number: 1699141333
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 05D1058957
LAB Type Community Clinic
Facility Name SAN BRUNO CBOC
Street 1001 SNEATH LANE SUITE 300 RM 15
City SAN BRUNO
State CA
ZIP 94066
Phone 650 553-8013
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/19/2006
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director STEPHEN COOK

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