05D2170003 CLIA NUMBER - EMILY TEJANI MD

Laboratory Demographics

  • CLIA Code: 05D2170003
  • Facility Name: EMILY TEJANI MD
  • Facility Address: 45 SAN CLEMENTE DRIVE SUITE D230E
    CORTE MADERA, CA
    ZIP 94925
  • Facility Phone: 415 510-2204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY TEJANI
  • NPI Number: 1144455361
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2170003
LAB Type Physician Office
Facility Name EMILY TEJANI MD
Street 45 SAN CLEMENTE DRIVE SUITE D230E
City CORTE MADERA
State CA
ZIP 94925
Phone 415 510-2204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director EMILY TEJANI

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