CLIA lab
CLIA 05D2214037: Stanford Children's Health Teen Van
Menlo Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2214037 belongs to Stanford Children's Health Teen Van in Menlo Park, CA.
Certificate of Waiver, effective February 18, 2025, expires February 17, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 18, 2025
- Certificate expiration
- February 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2021
- Facility type
- Mobile lab
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2214037
- Lab name
- Stanford Children's Health Teen Van
- Address
- 4600 Bohannon Dr Ste 105, Menlo Park, CA 94025
- Phone
- (650) 736-7172
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Care Indeed Home Health Care, IncCertificate of Waiver, Home health agency05D2158367
- Ccrm San Francisco, LLCCertificate of Accreditation, Physician office05D2139767
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- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2045284
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2198894
Related
Questions
What is the CLIA number for Stanford Children's Health Teen Van in Menlo Park?
05D2214037, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stanford Children's Health Teen Van hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2214037 expire?
The CMS file lists February 17, 2027 as the certificate expiration date; the certificate took effect February 18, 2025.