05D2036284 CLIA NUMBER - NEWARK WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2036284
  • Facility Name: NEWARK WELLNESS CENTER
  • Facility Address: 6066 CIVIC TERRACE AVE
    NEWARK, CA
    ZIP 94560
  • Facility Phone: 510 912-0842
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACOB EAPEN MD
  • NPI Number: 1538610290
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2036284
LAB Type Physician Office
Facility Name NEWARK WELLNESS CENTER
Street 6066 CIVIC TERRACE AVE
City NEWARK
State CA
ZIP 94560
Phone 510 912-0842
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director JACOB EAPEN MD

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