05D2042921 CLIA NUMBER - GINA TOBALINA MD INC

Laboratory Demographics

  • CLIA Code: 05D2042921
  • Facility Name: GINA TOBALINA MD INC
  • Facility Address: 1615 CREEKSIDE DR STE 101
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 817-4132
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GINA TOBALINA
  • NPI Number: 1376756833
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2042921
LAB Type Physician Office
Facility Name GINA TOBALINA MD INC
Street 1615 CREEKSIDE DR STE 101
City FOLSOM
State CA
ZIP 95630
Phone 916 817-4132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director GINA TOBALINA

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