05D0604332 CLIA NUMBER - CSI MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0604332
  • Facility Name: CSI MEDICAL GROUP
  • Facility Address: 1030 SIR FRANCIS DRAKE BLVD STE 110
    KENTFIELD, CA
    ZIP 94904
  • Facility Phone: 415 461-1036
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEFAN LOWENSTEIN
  • NPI Number: 1215304753
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0604332
LAB Type Physician Office
Facility Name CSI MEDICAL GROUP
Street 1030 SIR FRANCIS DRAKE BLVD STE 110
City KENTFIELD
State CA
ZIP 94904
Phone 415 461-1036
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 8/30/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director STEFAN LOWENSTEIN

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