05D2303482 CLIA NUMBER - LAUREN HARTMAN, M.D., INC.

Laboratory Demographics

  • CLIA Code: 05D2303482
  • Facility Name: LAUREN HARTMAN, M.D., INC.
  • Facility Address: 2920 DOMINGO AVE STE 200
    BERKELEY, CA
    ZIP 94705
  • Facility Phone: 510 255-0709
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREN B. HARTMAN
  • NPI Number: 1205053030
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2303482
LAB Type Physician Office
Facility Name LAUREN HARTMAN, M.D., INC.
Street 2920 DOMINGO AVE STE 200
City BERKELEY
State CA
ZIP 94705
Phone 510 255-0709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director LAUREN B. HARTMAN

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