05D2301078 CLIA NUMBER - NORTH BAY EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D2301078
  • Facility Name: NORTH BAY EYE ASSOCIATES
  • Facility Address: 104 LYNCH CREEK WAY, SUITE 15
    PETALUMA, CA
    ZIP 94954
  • Facility Phone: 707 588-7939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON BACHARACH
  • NPI Number: 1427212919
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2301078
LAB Type Physician Office
Facility Name NORTH BAY EYE ASSOCIATES
Street 104 LYNCH CREEK WAY, SUITE 15
City PETALUMA
State CA
ZIP 94954
Phone 707 588-7939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director JASON BACHARACH

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