05D1037432 CLIA NUMBER - NORTH BAY EYE ASSOCIATES A MEDICAL ASSOCIATION

Laboratory Demographics

  • CLIA Code: 05D1037432
  • Facility Name: NORTH BAY EYE ASSOCIATES A MEDICAL ASSOCIATION
  • Facility Address: 104 LYNCH CREEK WAY STE 12
    PETALUMA, CA
    ZIP 94954
  • Facility Phone: 707 762-3573
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON BACHARACH
  • NPI Number: 1073682142
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1037432
LAB Type Physician Office
Facility Name NORTH BAY EYE ASSOCIATES A MEDICAL ASSOCIATION
Street 104 LYNCH CREEK WAY STE 12
City PETALUMA
State CA
ZIP 94954
Phone 707 762-3573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director JASON BACHARACH

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