05D2034724 CLIA NUMBER - BAART BEHAVIORAL HEALTH SERVICES, INC. BAART PROGRAMS SAN MATEO

Home > CLIA Lookup > 05D2034724

Laboratory Demographics

CLIA Number: 05D2034724

Facility Name: BAART BEHAVIORAL HEALTH SERVICES, INC. BAART PROGRAMS SAN MATEO

Facility Address:
795 WILLOW RD, BLDG. 332
MENLO PARK, CA
ZIP 94025
Get Directions

Facility Phone Number: 650 324-1470

Facility Type: Other - NARCOTIC TREATMENT

Certificate Type: Waiver

NPI Number: 1992073142

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2034724
LAB Type	Other - NARCOTIC TREATMENT
Facility Name	BAART BEHAVIORAL HEALTH SERVICES, INC. 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

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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