05D2065023 CLIA NUMBER - KAISER PERMENENTE SAN RAMON MEDICAL OFFICES

Laboratory Demographics

  • CLIA Code: 05D2065023
  • Facility Name: KAISER PERMENENTE SAN RAMON MEDICAL OFFICES
  • Facility Address: 2300 CAMINO RAMON
    SAN RAMON, CA
    ZIP 94583
  • Facility Phone: 925 295-7541
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NUPOOR A. GAJJAR
  • NPI Number: 1144662263
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065023
LAB Type Physician Office
Facility Name KAISER PERMENENTE SAN RAMON MEDICAL OFFICES
Street 2300 CAMINO RAMON
City SAN RAMON
State CA
ZIP 94583
Phone 925 295-7541
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director NUPOOR A. GAJJAR

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