05D2153330 CLIA NUMBER - SCHOOL BASED URGENT CARE NETWORK DBA HAZEL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2153330
  • Facility Name: SCHOOL BASED URGENT CARE NETWORK DBA HAZEL HEALTH SERVICES
  • Facility Address: 10775 PIONEER TRAIL, STE 215
    TRUCKEE, CA
    ZIP 96161
  • Facility Phone: 415 424-4266
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROBERT J. DARZYNKIEWICZ
  • NPI Number: 1275035263
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2153330
LAB Type Practitioner Other
Facility Name SCHOOL BASED URGENT CARE NETWORK DBA HAZEL HEALTH SERVICES
Street 10775 PIONEER TRAIL, STE 215
City TRUCKEE
State CA
ZIP 96161
Phone 415 424-4266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Practitioner Other
Lab Director ROBERT J. DARZYNKIEWICZ

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