05D1047331 CLIA NUMBER - MARSHALL FAMILY MEDICINE-ELDORADO HILLS

Laboratory Demographics

  • CLIA Code: 05D1047331
  • Facility Name: MARSHALL FAMILY MEDICINE-ELDORADO HILLS
  • Facility Address: 5137 GOLDEN FOOTHILLS PKWY, STE 120
    EL DORADO HILLS, CA
    ZIP 95762
  • Facility Phone: 530 344-5400
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Microscopy
  • Lab Director: TARANDEEP KAUR MD
  • NPI Number: 1972657559
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1047331
LAB Type Other - OUTPATIENT CLINIC
Facility Name MARSHALL FAMILY MEDICINE-ELDORADO HILLS
Street 5137 GOLDEN FOOTHILLS PKWY, STE 120
City EL DORADO HILLS
State CA
ZIP 95762
Phone 530 344-5400
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 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - OUTPATIENT CLINIC
Lab Director TARANDEEP KAUR MD

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