05D1107543 CLIA NUMBER - ATHERTON HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D1107543
  • Facility Name: ATHERTON HEALTHCARE
  • Facility Address: 1275 CRANE STREET
    MENLO PARK, CA
    ZIP 94025
  • Facility Phone: 650 325-8600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PHILLIP NG
  • NPI Number: 1740473750
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1107543
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ATHERTON HEALTHCARE
Street 1275 CRANE STREET
City MENLO PARK
State CA
ZIP 94025
Phone 650 325-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PHILLIP NG

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