05D2046512 CLIA NUMBER - EXPRESS MEDICINE URGENT CARE

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Laboratory Demographics

CLIA Number: 05D2046512

Facility Name: EXPRESS MEDICINE URGENT CARE

Facility Address:
5700 STONERIDGE MALL RD STE 100
PLEASANTON, CA
ZIP 94588
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Facility Phone Number: 925 425-9525

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578818696

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2046512
LAB Type	Physician Office
Facility Name	EXPRESS MEDICINE URGENT CARE
Street	5700 STONERIDGE MALL RD STE 100
City	PLEASANTON
State	CA
ZIP	94588
Phone	925 425-9525
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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