05D2285820 CLIA NUMBER - BARTON MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2285820
  • Facility Name: BARTON MEDICAL FOUNDATION
  • Facility Address: 1108 4TH STREET
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Facility Phone: 530 543-5750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD MARTIN
  • NPI Number: 1750950499
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2285820
LAB Type Physician Office
Facility Name BARTON MEDICAL FOUNDATION
Street 1108 4TH STREET
City SOUTH LAKE TAHOE
State CA
ZIP 96150
Phone 530 543-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director DONALD MARTIN

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