05D2034723 CLIA NUMBER - ADDICTION RESEARCH AND TREATMENT, INC DBA BAART PROGRAMS SAN MATEO

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Laboratory Demographics

CLIA Number: 05D2034723

Facility Name: ADDICTION RESEARCH AND TREATMENT, INC DBA BAART PROGRAMS SAN MATEO

Facility Address:
795 WILLOW RD BLDG 332
MENLO PARK, CA
ZIP 94025
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Facility Phone Number: 650 324-1470

Facility Type: Other - NARCOTIC TREATMENT

Certificate Type: Waiver

NPI Number: 1184992331

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2034723
LAB Type	Other - NARCOTIC TREATMENT
Facility Name	ADDICTION RESEARCH AND TREATMENT, INC DBA BAART PROGRAMS SAN MATEO
Street	795 WILLOW RD BLDG 332
City	MENLO PARK
State	CA
ZIP	94025
Phone	650 324-1470
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024