05D0947538 CLIA NUMBER - ROBERT GITLIN DO

Laboratory Demographics

  • CLIA Code: 05D0947538
  • Facility Name: ROBERT GITLIN DO
  • Facility Address: 8501 WEST RD
    REDWOOD VALLEY, CA
    ZIP 95470
  • Facility Phone: 707 485-6900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT GITLIN
  • NPI Number: 1104824010
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0947538
LAB Type Physician Office
Facility Name ROBERT GITLIN DO
Street 8501 WEST RD
City REDWOOD VALLEY
State CA
ZIP 95470
Phone 707 485-6900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director ROBERT GITLIN

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