05D0985006 CLIA NUMBER - STEPHEN R WELLS MD

Laboratory Demographics

  • CLIA Code: 05D0985006
  • Facility Name: STEPHEN R WELLS MD
  • Facility Address: 120 LA CASA VIA, SUITE 208
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 935-5356
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN R. WELLS MD
  • NPI Number: 1659385151
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0985006
LAB Type Physician Office
Facility Name STEPHEN R WELLS MD
Street 120 LA CASA VIA, SUITE 208
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 935-5356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director STEPHEN R. WELLS MD

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This page was last updated on: 6/4/2025