05D2024715 CLIA NUMBER - ROBERT BRUCE MILLER, MD

Laboratory Demographics

  • CLIA Code: 05D2024715
  • Facility Name: ROBERT BRUCE MILLER, MD
  • Facility Address: 4535 MATTOS DR
    FREMONT, CA
    ZIP 94536
  • Facility Phone: 510 795-7746
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT B. MILLER
  • NPI Number: 1225119951
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2024715
LAB Type Physician Office
Facility Name ROBERT BRUCE MILLER, MD
Street 4535 MATTOS DR
City FREMONT
State CA
ZIP 94536
Phone 510 795-7746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director ROBERT B. MILLER

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