05D2024006 CLIA NUMBER - PLEASANTON DERMATOLOGY

Laboratory Demographics

CLIA Number: 05D2024006

Facility Name: PLEASANTON DERMATOLOGY

Facility Address:
5933 CORONADO LANE #200
PLEASANTON, CA
ZIP 94588
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Facility Phone Number: 925 226-7910

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1285625509

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 05D2024006
LAB Type Physician Office
Facility Name PLEASANTON DERMATOLOGY
Street 5933 CORONADO LANE #200
City PLEASANTON
State CA
ZIP 94588
Phone 925 226-7910
CertificateType 2
CertificateEffectiveDate 10/24/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024