NPI Details
VIBRANT AMERICA CLINICAL LABORATORY is a clinical medical laboratory in San Carlos, CA. The provider is (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. VIBRANT AMERICA CLINICAL LABORATORY NPI is 1356755516. The provider is registered as an organization entity type.
The provider's business location address is:
1021 HOWARD AVE
SUITE B
SAN CARLOS, CA
ZIP 94070-028
Phone: (650) 226-3381
Fax: (650) 226-3381
The provider's authorized official is John J Rajasekaran .
The authorized official title is Ceo and has the following contact phone number (650) 808-5824.
The CLIA number assigned to this NPI record is 05D2078809 - independent with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 6/16/2014 and was last updated on 6/16/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | CLF 00346278 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | CLF 00346278 | OTHER | CALIFORNIA | CALIFORNIA LABORATORY LICENSE |
| 2 | 05D2078809 | OTHER | CALIFORNIA | CLIA NUMBER |
