05D2022217 CLIA NUMBER - MARKO BODOR, MD INC

Laboratory Demographics

  • CLIA Code: 05D2022217
  • Facility Name: MARKO BODOR, MD INC
  • Facility Address: 3421 VILLA LANE STE 2B
    NAPA, CA
    ZIP 94558
  • Facility Phone: 707 255-5454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARKO BODOR
  • NPI Number: 1588681191
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2022217
LAB Type Physician Office
Facility Name MARKO BODOR, MD INC
Street 3421 VILLA LANE STE 2B
City NAPA
State CA
ZIP 94558
Phone 707 255-5454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director MARKO BODOR

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