05D0601536 CLIA NUMBER - JOHN MUIR PHYSICIAN NETWORK

Laboratory Demographics

CLIA Number: 05D0601536

Facility Name: JOHN MUIR PHYSICIAN NETWORK

Facility Address:
100 N WIGET LN STE 290
WALNUT CREEK, CA
ZIP 94598
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Facility Phone Number: 925 308-8457

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1235184110

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	05D0601536
LAB Type	Physician Office
Facility Name	JOHN MUIR PHYSICIAN NETWORK
Street	100 N WIGET LN STE 290
City	WALNUT CREEK
State	CA
ZIP	94598
Phone	925 308-8457
CertificateType	3
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024