05D2075877 CLIA NUMBER - CENTER FOR DISCOVERY MENLO PARK

Laboratory Demographics

  • CLIA Code: 05D2075877
  • Facility Name: CENTER FOR DISCOVERY MENLO PARK
  • Facility Address: 1895 ALTSCHUL AVE
    MENLO PARK, CA
    ZIP 94025
  • Facility Phone: 714 733-6056
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: SUSANNE MARTIN
  • NPI Number: 1194106567
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2075877
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name CENTER FOR DISCOVERY MENLO PARK
Street 1895 ALTSCHUL AVE
City MENLO PARK
State CA
ZIP 94025
Phone 714 733-6056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director SUSANNE MARTIN

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