05D0590965 CLIA NUMBER - PENINSULA DERMATOLOGY MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D0590965
  • Facility Name: PENINSULA DERMATOLOGY MEDICAL GROUP, INC
  • Facility Address: 1750 EL CAMINO REAL, STE 206
    BURLINGAME, CA
    ZIP 94010
  • Facility Phone: 650 692-0182
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. NIKOLAJS A. LAPINS
  • NPI Number: 1447303995
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D0590965
LAB Type Physician Office
Facility Name PENINSULA DERMATOLOGY MEDICAL GROUP, INC
Street 1750 EL CAMINO REAL, STE 206
City BURLINGAME
State CA
ZIP 94010
Phone 650 692-0182
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/31/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. NIKOLAJS A. LAPINS

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This page was last updated on: 9/29/2025