05D2132912 CLIA NUMBER - TET TOE MD INC

Laboratory Demographics

  • CLIA Code: 05D2132912
  • Facility Name: TET TOE MD INC
  • Facility Address: 1600 CREEKSIDE DR STE 2500
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 542-1458
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TET TOE
  • NPI Number: 1639618481
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2132912
LAB Type Physician Office
Facility Name TET TOE MD INC
Street 1600 CREEKSIDE DR STE 2500
City FOLSOM
State CA
ZIP 95630
Phone 916 542-1458
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 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director TET TOE

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