05D0674680 CLIA NUMBER - POINT REYES MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0674680

Facility Name: POINT REYES MEDICAL CLINIC

Facility Address:
3 SIXTH ST
POINT REYES STATION, CA
ZIP 94956
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Facility Phone Number: 415 663-8666

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1356732325

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0674680
LAB Type	Community Clinic
Facility Name	POINT REYES MEDICAL CLINIC
Street	3 SIXTH ST
City	POINT REYES STATION
State	CA
ZIP	94956
Phone	415 663-8666
CertificateType	3
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	PPMP

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