05D2193834 CLIA NUMBER - MILL VALLEY DERMATOLOGY INC

Laboratory Demographics

  • CLIA Code: 05D2193834
  • Facility Name: MILL VALLEY DERMATOLOGY INC
  • Facility Address: 655 REDWOOD HWY FRONTAAGE RD, STE 100
    MILL VALLEY, CA
    ZIP 94941
  • Facility Phone: 415 634-8411
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HAYDEE KNOTT
  • NPI Number: 1578173936
  • Taxonomy: 207ND0101X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2193834
LAB Type Physician Office
Facility Name MILL VALLEY DERMATOLOGY INC
Street 655 REDWOOD HWY FRONTAAGE RD, STE 100
City MILL VALLEY
State CA
ZIP 94941
Phone 415 634-8411
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/5/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director HAYDEE KNOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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