05D0950151 CLIA NUMBER - JEROME POTOZKIN MD A PROFESSIONAL CORP

Laboratory Demographics

  • CLIA Code: 05D0950151
  • Facility Name: JEROME POTOZKIN MD A PROFESSIONAL CORP
  • Facility Address: 600 SAN RAMON VALLEY BLVD STE 102
    DANVILLE, CA
    ZIP 94526
  • Facility Phone: 925 838-4900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEROME R. POTOZKIN MD
  • NPI Number: 1184635195
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0950151
LAB Type Physician Office
Facility Name JEROME POTOZKIN MD A PROFESSIONAL CORP
Street 600 SAN RAMON VALLEY BLVD STE 102
City DANVILLE
State CA
ZIP 94526
Phone 925 838-4900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/30/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JEROME R. POTOZKIN MD

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