05D2325313 CLIA NUMBER - MARSHALL MULTISPECIALTY TOWN CENTER WEST

Laboratory Demographics

  • CLIA Code: 05D2325313
  • Facility Name: MARSHALL MULTISPECIALTY TOWN CENTER WEST
  • Facility Address: 4201 TOWN CENTER BLVD
    EL DORADO HILLS, CA
    ZIP 95762
  • Facility Phone: 530 626-2901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARANDEEP KAUR
  • NPI Number: 1972309326
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2325313
LAB Type Physician Office
Facility Name MARSHALL MULTISPECIALTY TOWN CENTER WEST
Street 4201 TOWN CENTER BLVD
City EL DORADO HILLS
State CA
ZIP 95762
Phone 530 626-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director TARANDEEP KAUR

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