05D0596639 CLIA NUMBER - MICHAEL TAYMOR

Laboratory Demographics

  • CLIA Code: 05D0596639
  • Facility Name: MICHAEL TAYMOR
  • Facility Address: 145 NORTH CALIFORNIA AVE
    PALO ALTO, CA
    ZIP 94301
  • Facility Phone: 650 321-7722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL TAYMOR MD
  • NPI Number: 1902900350
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0596639
LAB Type Physician Office
Facility Name MICHAEL TAYMOR
Street 145 NORTH CALIFORNIA AVE
City PALO ALTO
State CA
ZIP 94301
Phone 650 321-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director MICHAEL TAYMOR MD

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