05D2001290 CLIA NUMBER - VAPAHCS - FREMONT CLINIC

Laboratory Demographics

  • CLIA Code: 05D2001290
  • Facility Name: VAPAHCS - FREMONT CLINIC
  • Facility Address: 39199 LIBERTY ST, BUILDING B
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 650 493-5000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KRISTIN JENSEN
  • NPI Number: 1417387002
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D2001290
LAB Type Community Clinic
Facility Name VAPAHCS - FREMONT CLINIC
Street 39199 LIBERTY ST, BUILDING B
City FREMONT
State CA
ZIP 94538
Phone 650 493-5000
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 12/16/2009
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director KRISTIN JENSEN

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