05D2061827 CLIA NUMBER - SHANNON M BERRY MD

Laboratory Demographics

  • CLIA Code: 05D2061827
  • Facility Name: SHANNON M BERRY MD
  • Facility Address: 295 POSADA LN STE D
    TEMPLETON, CA
    ZIP 93465
  • Facility Phone: 805 434-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON M. BERRY
  • NPI Number: 1013909811
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2061827
LAB Type Physician Office
Facility Name SHANNON M BERRY MD
Street 295 POSADA LN STE D
City TEMPLETON
State CA
ZIP 93465
Phone 805 434-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director SHANNON M. BERRY

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