CCRM SAN FRANCISCO, LLC
NPI 1609357169
Clinical Medical Laboratory in Menlo Park, CA
NPI Status: Active since August 23, 2018
Contact Information
1060 MARSH RD FL 1
MENLO PARK, CA
ZIP 94025
Phone: (650) 646-7500
- Organization
- Clinical Medical Laboratory
- CLIA Number: 05D2139767
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-13-2026
About CCRM SAN FRANCISCO, LLC
This page provides the complete NPI Profile along with additional information for Ccrm San Francisco, Llc, a provider established in Menlo Park, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1609357169 assigned on August 2018. The practitioner's primary taxonomy code is 291U00000X with license number 05D2139767 (). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jon Pardew (Ceo)
- NPI
- 1609357169
- Provider Name
- CCRM SAN FRANCISCO, LLC
- Entity Type
- Organization
- Location Address
- 1060 MARSH RD FL 1 MENLO PARK, CA 94025
- Location Phone
- (650) 646-7500
- Mailing Address
- 9380 STATION ST STE 425 LONE TREE, CO 80124
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2018
- Last Update Date
- 08-23-2018
- Code Navigator
Establishments like Ccrm San Francisco, Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License No.
- 05D2139767
- Taxonomy Description
- (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05D2139767 | OTHER (01) | CLIA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2139767
- Facility Type
- Physician Office
- Certificate Effective Date
- November 14, 2024
- Certificate Expiration Date
- November 13, 2026
- Laboratory Director
- DR. SALLI I. TAZUKE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ccrm San Francisco, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 5 | 7 | 1 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 5 | 14 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 5 + 1 + 4 + 1 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1609357169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689106908 | BAY AREA CENTER FOR REPRODUCTIVE MEDICINE Organization | Clinic/Center | 1060 MARSH RD FL 1 MENLO PARK, CA 94025 (650) 646-7500 |
| 1235287020 | LI-SHEI LIN MD Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 1060 MARSH RD FL 1 MENLO PARK, CA 94025 (650) 646-7500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609357169, enumerated in the NPI registry as an "organization" on August 23, 2018
The provider is located at 1060 Marsh Rd Fl 1 Menlo Park, Ca 94025 and the phone number is (650) 646-7500
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2139767 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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