05D2038246 CLIA NUMBER - CALIFORNIA EYE CLINIC A MED GROUP

Laboratory Demographics

  • CLIA Code: 05D2038246
  • Facility Name: CALIFORNIA EYE CLINIC A MED GROUP
  • Facility Address: 3747 SUNSET LN
    ANTIOCH, CA
    ZIP 94531
  • Facility Phone: 925 754-2300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT S. GROSSERODE
  • NPI Number: 1598809758
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2038246
LAB Type Ambulatory Surgery Center
Facility Name CALIFORNIA EYE CLINIC A MED GROUP
Street 3747 SUNSET LN
City ANTIOCH
State CA
ZIP 94531
Phone 925 754-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT S. GROSSERODE

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