05D0601323 CLIA NUMBER - CHARLES HANSON MD

Laboratory Demographics

  • CLIA Code: 05D0601323
  • Facility Name: CHARLES HANSON MD
  • Facility Address: 1855 SAN MIGUEL DR, STE 15
    WALNUT CREEK, CA
    ZIP 94596
  • Facility Phone: 925 930-8770
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHARLES H. HANSON, MD
  • NPI Number: 1245243567
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0601323
LAB Type Physician Office
Facility Name CHARLES HANSON MD
Street 1855 SAN MIGUEL DR, STE 15
City WALNUT CREEK
State CA
ZIP 94596
Phone 925 930-8770
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/18/2022
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director CHARLES H. HANSON, MD

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This page was last updated on: 6/4/2025