05D0604750 CLIA NUMBER - TAMALPAIS PEDIATRICS - A UCSF AFFILIATE

Laboratory Demographics

CLIA Number: 05D0604750

Facility Name: TAMALPAIS PEDIATRICS - A UCSF AFFILIATE

Facility Address:
5 BON AIR RD STE 105
LARKSPUR, CA
ZIP 94939
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Facility Phone Number: 415 461-0440

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073580320

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	05D0604750
LAB Type	Physician Office
Facility Name	TAMALPAIS PEDIATRICS - A UCSF AFFILIATE
Street	5 BON AIR RD STE 105
City	LARKSPUR
State	CA
ZIP	94939
Phone	415 461-0440
CertificateType	4
CertificateEffectiveDate	2/19/2023
CertificateExpirationDate	2/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024