05D2048987 CLIA NUMBER - SIYAN CLINICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2048987
  • Facility Name: SIYAN CLINICAL CORPORATION
  • Facility Address: 480 TESCONI CIR STE B
    SANTA ROSA, CA
    ZIP 95401
  • Facility Phone: 707 206-7268
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANISH S. SHAH
  • NPI Number: 1568732972
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2048987
LAB Type Physician Office
Facility Name SIYAN CLINICAL CORPORATION
Street 480 TESCONI CIR STE B
City SANTA ROSA
State CA
ZIP 95401
Phone 707 206-7268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director ANISH S. SHAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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