05D2123484 CLIA NUMBER - GOLDEN CASTLE ADHC CENTER, INC

Laboratory Demographics

CLIA Number: 05D2123484

Facility Name: GOLDEN CASTLE ADHC CENTER, INC

Facility Address:
3803 E BAYSHORE RD
PALO ALTO, CA
ZIP 94303
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Facility Phone Number: 650 964-1964

Facility Type: Other - ADULT DAY HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1730307448

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2123484
LAB Type	Other - ADULT DAY HEALTH CENTER
Facility Name	GOLDEN CASTLE ADHC CENTER, INC
Street	3803 E BAYSHORE RD
City	PALO ALTO
State	CA
ZIP	94303
Phone	650 964-1964
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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