05D2309695 CLIA NUMBER - STARS MENTAL HEALTH REHABILITATION CTRS

Laboratory Demographics

CLIA Code: 05D2309695
Facility Name: STARS MENTAL HEALTH REHABILITATION CTRS
Facility Address: 240 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062
Facility Phone: 650 209-1100
Facility Type: Other - MHRC
Facility Type: Waiver
Lab Director: ALAN GREEN
NPI Number: 1114772522
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2309695
LAB Type	Other - MHRC
Facility Name	STARS MENTAL HEALTH REHABILITATION CTRS
Street	240 EDMONDS RD
City	REDWOOD CITY
State	CA
ZIP	94062
Phone	650 209-1100
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/20/2024
Certificate Expiration Date	8/19/2026
Facility Type	Other - MHRC
Lab Director	ALAN GREEN

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