05D2150501 CLIA NUMBER - PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH AND EDUCATION

Laboratory Demographics

  • CLIA Code: 05D2150501
  • Facility Name: PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH AND EDUCATION
  • Facility Address: 1950 UNIVERSITY AVE STE 170
    EAST PALO ALTO, CA
    ZIP 94303
  • Facility Phone: 408 402-9210
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: ALEXIS H. KIM MD
  • NPI Number: 1639729932
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2150501
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH AND EDUCATION
Street 1950 UNIVERSITY AVE STE 170
City EAST PALO ALTO
State CA
ZIP 94303
Phone 408 402-9210
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 7/17/2021
Certificate Expiration Date 10/31/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ALEXIS H. KIM MD

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