05D0955246 CLIA NUMBER - DANIEL L TAYLOR MD

Laboratory Demographics

  • CLIA Code: 05D0955246
  • Facility Name: DANIEL L TAYLOR MD
  • Facility Address: 39275 MISSION BLVD STE 201
    FREMONT, CA
    ZIP 94539
  • Facility Phone: 510 713-0628
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL L. TAYLOR MD
  • NPI Number: 1134201494
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0955246
LAB Type Physician Office
Facility Name DANIEL L TAYLOR MD
Street 39275 MISSION BLVD STE 201
City FREMONT
State CA
ZIP 94539
Phone 510 713-0628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director DANIEL L. TAYLOR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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