05D1030504 CLIA NUMBER - RUTH RUBIN MD

Laboratory Demographics

  • CLIA Code: 05D1030504
  • Facility Name: RUTH RUBIN MD
  • Facility Address: 21 TAMAL VISTA BLVD STE 100
    CORTE MADERA, CA
    ZIP 94925
  • Facility Phone: 415 927-0101
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUTH RUBIN MD
  • NPI Number: 1043238041
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1030504
LAB Type Physician Office
Facility Name RUTH RUBIN MD
Street 21 TAMAL VISTA BLVD STE 100
City CORTE MADERA
State CA
ZIP 94925
Phone 415 927-0101
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 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director RUTH RUBIN MD

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