05D0688392 CLIA NUMBER - DIABLO VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0688392
  • Facility Name: DIABLO VALLEY PEDIATRICS
  • Facility Address: 2299 BACON ST SUITE 7
    CONCORD, CA
    ZIP 94520
  • Facility Phone: 925 676-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANCE GERSHEN
  • NPI Number: 1407069719
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0688392
LAB Type Physician Office
Facility Name DIABLO VALLEY PEDIATRICS
Street 2299 BACON ST SUITE 7
City CONCORD
State CA
ZIP 94520
Phone 925 676-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director LANCE GERSHEN

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