05D0604750 CLIA NUMBER - TAMALPAIS PEDIATRICS - A UCSF AFFILIATE

Laboratory Demographics

  • CLIA Code: 05D0604750
  • Facility Name: TAMALPAIS PEDIATRICS - A UCSF AFFILIATE
  • Facility Address: 5 BON AIR RD STE 105
    LARKSPUR, CA
    ZIP 94939
  • Facility Phone: 415 461-0440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN N. HEATH MD
  • NPI Number: 1073580320
  • Taxonomy: 208000000X - Pediatrics

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director ERIN N. HEATH MD

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