05D0667246 CLIA NUMBER - HAYWARD WELLNESS

Laboratory Demographics

  • CLIA Code: 05D0667246
  • Facility Name: HAYWARD WELLNESS
  • Facility Address: 1 SOUTHLAND MALL DR
    HAYWARD, CA
    ZIP 94545
  • Facility Phone: 510 266-1738
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUMITA KALRA DO
  • NPI Number: 1033241633
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0667246
LAB Type Physician Office
Facility Name HAYWARD WELLNESS
Street 1 SOUTHLAND MALL DR
City HAYWARD
State CA
ZIP 94545
Phone 510 266-1738
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director SUMITA KALRA DO

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