05D0857952 CLIA NUMBER - TAMALPAIS PEDIATRICS - A UCSF AFFILIATE

Laboratory Demographics

  • CLIA Code: 05D0857952
  • Facility Name: TAMALPAIS PEDIATRICS - A UCSF AFFILIATE
  • Facility Address: 251 VINTAGE WAY
    NOVATO, CA
    ZIP 94945
  • Facility Phone: 415 892-0965
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN N. HEATH
  • NPI Number: 1679877500
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0857952
LAB Type Physician Office
Facility Name TAMALPAIS PEDIATRICS - A UCSF AFFILIATE
Street 251 VINTAGE WAY
City NOVATO
State CA
ZIP 94945
Phone 415 892-0965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Physician Office
Lab Director ERIN N. HEATH

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