05D2033237 CLIA NUMBER - GARDNER D. TARLOW, MD INC

Laboratory Demographics

  • CLIA Code: 05D2033237
  • Facility Name: GARDNER D. TARLOW, MD INC
  • Facility Address: 215 N STATE COLLEGE BLVD STE C
    ANAHEIM, CA
    ZIP 92806
  • Facility Phone: 707 772-2210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARDNER D. TARLOW MD
  • NPI Number: 1518259084
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2033237
LAB Type Physician Office
Facility Name GARDNER D. TARLOW, MD INC
Street 215 N STATE COLLEGE BLVD STE C
City ANAHEIM
State CA
ZIP 92806
Phone 707 772-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director GARDNER D. TARLOW MD

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