05D1069402 CLIA NUMBER - BAY AREA RETINA ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D1069402
  • Facility Name: BAY AREA RETINA ASSOCIATES
  • Facility Address: 365 LENNON LANE, STE 250
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 943-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEWART A. DANIELS
  • NPI Number: 1174557805
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D1069402
LAB Type Physician Office
Facility Name BAY AREA RETINA ASSOCIATES
Street 365 LENNON LANE, STE 250
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 943-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director STEWART A. DANIELS

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