05D2002532 CLIA NUMBER - LYNNE MIELKE MD

Laboratory Demographics

  • CLIA Code: 05D2002532
  • Facility Name: LYNNE MIELKE MD
  • Facility Address: 4463 STONERIDGE DR STE A
    PLEASANTON, CA
    ZIP 94588
  • Facility Phone: 925 846-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNNE MIELKE
  • NPI Number: 1700985413
  • Taxonomy: 2084P0005X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2002532
LAB Type Physician Office
Facility Name LYNNE MIELKE MD
Street 4463 STONERIDGE DR STE A
City PLEASANTON
State CA
ZIP 94588
Phone 925 846-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director LYNNE MIELKE

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