05D2035387 CLIA NUMBER - AGILITY HEALTH

Laboratory Demographics

  • CLIA Code: 05D2035387
  • Facility Name: AGILITY HEALTH
  • Facility Address: 1660 S AMPHLETT BLVD STE 116
    SAN MATEO, CA
    ZIP 94402
  • Facility Phone: 650 453-5100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVID R. JONES MD
  • NPI Number: 1871013920
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2035387
LAB Type Home Health Agency
Facility Name AGILITY HEALTH
Street 1660 S AMPHLETT BLVD STE 116
City SAN MATEO
State CA
ZIP 94402
Phone 650 453-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Home Health Agency
Lab Director DAVID R. JONES MD

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