05D0600187 CLIA NUMBER - GRETCHEN D GRAVES MD

Laboratory Demographics

  • CLIA Code: 05D0600187
  • Facility Name: GRETCHEN D GRAVES MD
  • Facility Address: 2260 GLADSTONE DR STE 2
    PITTSBURG, CA
    ZIP 94565
  • Facility Phone: 925 427-0391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRETCHEN D. GRAVES MD
  • NPI Number: 1306862040
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0600187
LAB Type Physician Office
Facility Name GRETCHEN D GRAVES MD
Street 2260 GLADSTONE DR STE 2
City PITTSBURG
State CA
ZIP 94565
Phone 925 427-0391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GRETCHEN D. GRAVES MD

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