05D2065021 CLIA NUMBER - VALLEY MEDICAL CONSULTANTS INC

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Laboratory Demographics

CLIA Number: 05D2065021

Facility Name: VALLEY MEDICAL CONSULTANTS INC

Facility Address:
2490 HOSPITAL DR STE 104
MOUNTAIN VIEW, CA
ZIP 94040
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Facility Phone Number: 650 962-4410

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588697122

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	05D2065021
LAB Type	Physician Office
Facility Name	VALLEY MEDICAL CONSULTANTS INC
Street	2490 HOSPITAL DR STE 104
City	MOUNTAIN VIEW
State	CA
ZIP	94040
Phone	650 962-4410
CertificateType	4
CertificateEffectiveDate	8/30/2023
CertificateExpirationDate	8/29/2025
FacilityType	Waiver

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