05D0862852 CLIA NUMBER - LAWRENCE LIVERMORE NATIONAL LABORATORY HEALTH SERVICES DEPT

Laboratory Demographics

  • CLIA Code: 05D0862852
  • Facility Name: LAWRENCE LIVERMORE NATIONAL LABORATORY HEALTH SERVICES DEPT
  • Facility Address: 7000 EAST AVE BLDG 663 LOC-723
    LIVERMORE, CA
    ZIP 94551
  • Facility Phone: 925 422-2077
  • Facility Type: Other - ON SITE OCCUPATIONAL MEDI
  • Facility Type: Waiver
  • Lab Director: RICHARD B. WATTS
  • NPI Number: 1497718704
  • Taxonomy: 207RC0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0862852
LAB Type Other - ON SITE OCCUPATIONAL MEDI
Facility Name LAWRENCE LIVERMORE NATIONAL LABORATORY HEALTH SERVICES DEPT
Street 7000 EAST AVE BLDG 663 LOC-723
City LIVERMORE
State CA
ZIP 94551
Phone 925 422-2077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Other - ON SITE OCCUPATIONAL MEDI
Lab Director RICHARD B. WATTS

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