05D2259346 CLIA NUMBER - TARA TARANTINO, DO, A DIV OF BASS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2259346
  • Facility Name: TARA TARANTINO, DO, A DIV OF BASS MEDICAL GROUP
  • Facility Address: 2225 YGNACIO VALLEY RD STE V
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 448-2610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARA TARANTINO
  • NPI Number: 1467460022
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2259346
LAB Type Physician Office
Facility Name TARA TARANTINO, DO, A DIV OF BASS MEDICAL GROUP
Street 2225 YGNACIO VALLEY RD STE V
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 448-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director TARA TARANTINO

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