05D1004640 CLIA NUMBER - OB GYN SPECIALISTS, A DIVISION OF BASS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D1004640
  • Facility Name: OB GYN SPECIALISTS, A DIVISION OF BASS MEDICAL GROUP
  • Facility Address: 2637 SHADELANDS DR
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 945-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANETTE G. WALKER
  • NPI Number: 1700886488
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1004640
LAB Type Physician Office
Facility Name OB GYN SPECIALISTS, A DIVISION OF BASS MEDICAL GROUP
Street 2637 SHADELANDS DR
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 945-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director JANETTE G. WALKER

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