05D2096854 CLIA NUMBER - PALO ALTO MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2096854
  • Facility Name: PALO ALTO MEDICAL FOUNDATION
  • Facility Address: 15400 LOS GATOS BLVD
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 730-6132
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: EDMUND TAI MD
  • NPI Number: 1942924402
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2096854
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PALO ALTO MEDICAL FOUNDATION
Street 15400 LOS GATOS BLVD
City LOS GATOS
State CA
ZIP 95032
Phone 408 730-6132
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/4/2022
Certificate Expiration Date 10/31/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director EDMUND TAI MD

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