05D2125891 CLIA NUMBER - VETERANS HEALTH ADMIN PUBLIC HEALTH REFERENCE LAB

Laboratory Demographics

CLIA Number: 05D2125891

Facility Name: VETERANS HEALTH ADMIN PUBLIC HEALTH REFERENCE LAB

Facility Address:
3801 MIRANDA AVE (132) BLDG MB4 RM 418
PALO ALTO, CA
ZIP 94304
Get Directions

Facility Phone Number: 650 852-3408

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1518068550

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2125891
LAB Type	Hospital
Facility Name	VETERANS HEALTH ADMIN PUBLIC HEALTH REFERENCE LAB
Street	3801 MIRANDA AVE (132) BLDG MB4 RM 418
City	PALO ALTO
State	CA
ZIP	94304
Phone	650 852-3408
CertificateType	1
CertificateEffectiveDate	2/15/2017
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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