05D0944949 CLIA NUMBER - ROBERT E BELKNAP, MD

Laboratory Demographics

  • CLIA Code: 05D0944949
  • Facility Name: ROBERT E BELKNAP, MD
  • Facility Address: 655 REDWOOD HWY #375
    MILL VALLEY, CA
    ZIP 94941
  • Facility Phone: 415 384-0506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT E. BELKNAP
  • NPI Number: 1336217306
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0944949
LAB Type Physician Office
Facility Name ROBERT E BELKNAP, MD
Street 655 REDWOOD HWY #375
City MILL VALLEY
State CA
ZIP 94941
Phone 415 384-0506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director ROBERT E. BELKNAP

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