05D1066402 CLIA NUMBER - PALO ALTO MEDICAL FOUNDATION - DUBLIN CENTER MAIN LAB

Laboratory Demographics

  • CLIA Code: 05D1066402
  • Facility Name: PALO ALTO MEDICAL FOUNDATION - DUBLIN CENTER MAIN LAB
  • Facility Address: 4050 DUBLIN BLVD
    DUBLIN, CA
    ZIP 94568
  • Facility Phone: 925 875-6125
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: JON L. KELLER
  • NPI Number: 1598494452
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D1066402
LAB Type Community Clinic
Facility Name PALO ALTO MEDICAL FOUNDATION - DUBLIN CENTER MAIN LAB
Street 4050 DUBLIN BLVD
City DUBLIN
State CA
ZIP 94568
Phone 925 875-6125
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Community Clinic
Lab Director JON L. KELLER

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