05D2078280 CLIA NUMBER - SATELLITE WELLBOUND OF MOUNTAIN VIEW

Laboratory Demographics

  • CLIA Code: 05D2078280
  • Facility Name: SATELLITE WELLBOUND OF MOUNTAIN VIEW
  • Facility Address: 247 W EL CAMINO REAL STE 200
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 417-6460
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHAHRZAD ZARGHAMEE
  • NPI Number: 1083046247
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2078280
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SATELLITE WELLBOUND OF MOUNTAIN VIEW
Street 247 W EL CAMINO REAL STE 200
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 650 417-6460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHAHRZAD ZARGHAMEE

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This page was last updated on: 3/20/2025