05D0973378 CLIA NUMBER - BRENNAN MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0973378
  • Facility Name: BRENNAN MEDICAL CORPORATION
  • Facility Address: 30 BRENNAN ST
    WATSONVILLE, CA
    ZIP 95076
  • Facility Phone: 831 768-0220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK G. BYRNE
  • NPI Number: 1962411264
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0973378
LAB Type Physician Office
Facility Name BRENNAN MEDICAL CORPORATION
Street 30 BRENNAN ST
City WATSONVILLE
State CA
ZIP 95076
Phone 831 768-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director DR. MARK G. BYRNE

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