Organization
STANFORD BLOOD CENTER, LLC
Active
Parent organization
STANFORD HEALTH CARE
Other names
Histocompatibility, Immunogenetics and Disease Profiling Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANFORD HEALTH CARE
Authorized official
MS. HARPRIT SANDHU (EXECUTIVE DIRECTOR)
(650) 723-7994
Entity
Organization
Contact information
Practice address
3373 HILLVIEW AVE, PALO ALTO, CA 94304
(650) 723-5548
(650) 723-6350
Mailing address
3373 HILLVIEW AVE, PALO ALTO, CA 94304-1204
(650) 723-5548
(650) 723-6350
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF2822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0718472
CLIA CERTIFICATE
—
01
—
066CA082
THE AMERICAN SOCIETY FOR HISTOCOMPATIBILITY & IMMUNOGENETICS
AL
01
—
CLF00002822
CLINICAL LABORATORY LICENSE
CA
Enumeration date
10/06/2009
Last updated
08/24/2018
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