05D2239288 CLIA NUMBER - KEITH DENKLER, MD

Laboratory Demographics

  • CLIA Code: 05D2239288
  • Facility Name: KEITH DENKLER, MD
  • Facility Address: 275 MAGNOLIA AVE
    LARKSPUR, CA
    ZIP 94939
  • Facility Phone: 415 924-6010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH DENKLER
  • NPI Number: 1881783041
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2239288
LAB Type Physician Office
Facility Name KEITH DENKLER, MD
Street 275 MAGNOLIA AVE
City LARKSPUR
State CA
ZIP 94939
Phone 415 924-6010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director KEITH DENKLER

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