05D2045284 CLIA NUMBER - CROSSOVER HEALTH

Laboratory Demographics

  • CLIA Code: 05D2045284
  • Facility Name: CROSSOVER HEALTH
  • Facility Address: 925 HAMILTON AVE
    MENLO PARK, CA
    ZIP 94025
  • Facility Phone: 650 521-5440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN EZEJI-OKOYE MD
  • NPI Number: 1316200108
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2045284
LAB Type Physician Office
Facility Name CROSSOVER HEALTH
Street 925 HAMILTON AVE
City MENLO PARK
State CA
ZIP 94025
Phone 650 521-5440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director STEPHEN EZEJI-OKOYE MD

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