05D2278394 CLIA NUMBER - ANJANI THAKUR , MD. INC.

Laboratory Demographics

  • CLIA Code: 05D2278394
  • Facility Name: ANJANI THAKUR , MD. INC.
  • Facility Address: 1805 N CALIFORNIA ST STE 310
    SANTA ROSA, CA
    ZIP 95406
  • Facility Phone: 209 656-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJANI THAKUR
  • NPI Number: 1477509529
  • Taxonomy: 202K00000X - Phlebology

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CLIA Record

Field Name Field Value
CLIA Number 05D2278394
LAB Type Physician Office
Facility Name ANJANI THAKUR , MD. INC.
Street 1805 N CALIFORNIA ST STE 310
City SANTA ROSA
State CA
ZIP 95406
Phone 209 656-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director ANJANI THAKUR

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