05D2210364 CLIA NUMBER - DANIEL PERLOV PRIME MD

Laboratory Demographics

  • CLIA Code: 05D2210364
  • Facility Name: DANIEL PERLOV PRIME MD
  • Facility Address: 37 ALLEN AVENUE SUITE 914
    ROSS, CA
    ZIP 94957
  • Facility Phone: 415 407-0301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL PERLOV
  • NPI Number: 1700855798
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2210364
LAB Type Physician Office
Facility Name DANIEL PERLOV PRIME MD
Street 37 ALLEN AVENUE SUITE 914
City ROSS
State CA
ZIP 94957
Phone 415 407-0301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director DANIEL PERLOV

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