05D2159882 CLIA NUMBER - BINGTAO LIN MD PC

Laboratory Demographics

  • CLIA Code: 05D2159882
  • Facility Name: BINGTAO LIN MD PC
  • Facility Address: 1600 CREEKSIDE DRIVE SUITE 2400
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 221-1374
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BINGTAO LIN
  • NPI Number: 1750865358
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2159882
LAB Type Physician Office
Facility Name BINGTAO LIN MD PC
Street 1600 CREEKSIDE DRIVE SUITE 2400
City FOLSOM
State CA
ZIP 95630
Phone 916 221-1374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director BINGTAO LIN

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