SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY
NPI 1720167422
Clinical Medical Laboratory in San Mateo, CA

NPI Status: Active since November 03, 2006

Contact Information

225 37TH AVE
SAN MATEO, CA
ZIP 94403
Phone: (650) 573-2500
Fax: (650) 573-2147

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 05D0857622
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 06-30-2025

About SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY

This page provides the complete NPI Profile along with additional information for San Mateo County Health Department Laboratory, a provider established in San Mateo, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1720167422 assigned on November 2006. The practitioner's primary taxonomy code is 291U00000X with license number 1264 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Brian Zamora (Director, Public Health Division)

NPI
1720167422
Provider Name
SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY
Entity Type
Organization
Location Address
225 37TH AVE SAN MATEO, CA 94403
Location Phone
(650) 573-2500
Location Fax
(650) 573-2147
Mailing Address
225 37TH AVE SAN MATEO, CA 94403
Mailing Phone
(650) 573-2500
Mailing Fax
(650) 573-2147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2006
Last Update Date
08-22-2020
Code Navigator

Establishments like San Mateo County Health Department Laboratory 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.
1264
License State
CA
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRIAN ZAMORA

Authorized Official Title
DIRECTOR, PUBLIC HEALTH DIVISION
Authorized Official Phone
(650) 573-3426

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
LAB77125F (ZOZ)MEDICAID (05)CA 

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
05D0857622
Facility Type
Public Health Laboratories
Certificate Effective Date
November 19, 2021
Certificate Expiration Date
June 30, 2025
Laboratory Director
DR. KRISTINA HSIEH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to San Mateo County Health Department Laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY

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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.
1720167422
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740261444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 6 + 1 + 4 + 4 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720167422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770673584 JEANNINE BLEAM MEALEY LMFT
Individual
Marriage & Family Therapist225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3659
1255405247 ALVARO GARZA M.D.
Individual
Pediatrics225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3453
1548316342 SCOTT A MORROW MD MPH MBA
Individual
Family Medicine225 37TH AVE
SAN MATEO, CA 94403
(650) 573-2519
1689790776 NINA KULGEIN
Individual
Registered Nurse225 37TH AVE
SAN MATEO, CA 94403
(650) 573-2323
1134246424 GLORIA MERCEDES MARISCAL
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1891812053 CELIA MORENO
Individual
Psychiatry & Neurology (Psychiatry)225 37TH AVE
SAN MATEO, CA 94403
(650) 573-2043
1912025412 PAUL K. SORBO
Individual
Social Worker (Clinical)225 37TH AVE
SAN MATEO, CA 94403
(650) 573-2020
1194944116MS. KEIRSTY MARIE O'KEEFFE M.A., MFTI
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1932304193 MATTHEW GELTMAKER LCSW
Individual
Social Worker (Clinical)225 37TH AVE
SAN MATEO, CA 94403
(650) 573-2222
1235310038 GLORIA GUTIERREZ
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1770764557 LAURA THILL
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1942481734 SHERYL FUATA
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1376724161 GERALDINE DOHERTY
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1144401928 PATRICIA HURST
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1770764565 MARK REED
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1588845374 CAROLYN KIELY
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1558542340 RICKY KOT
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1447431234 NICOLE SHEK R.N., P.H.N.
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1972784767 JENNIFER BRUGGEMAN
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900
1720260599 IRENE FERNANDEZ
Individual
Case Manager/Care Coordinator225 37TH AVE
SAN MATEO, CA 94403
(650) 573-3900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720167422, enumerated in the NPI registry as an "organization" on November 03, 2006

The provider is located at 225 37th Ave San Mateo, Ca 94403 and the phone number is (650) 573-2500

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 05D0857622 for a "public health laboratories" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on November 03, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.