05D2068064 CLIA NUMBER - CONCENTRA MEDICAL CENTERS WALNUT CREEK

Laboratory Demographics

  • CLIA Code: 05D2068064
  • Facility Name: CONCENTRA MEDICAL CENTERS WALNUT CREEK
  • Facility Address: 2033 N MAIN STREET, SUITE A
    WALNUT CREEK, CA
    ZIP 94596
  • Facility Phone: 925 932-7715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KANWAL KHER
  • NPI Number: 1710453238
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2068064
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS WALNUT CREEK
Street 2033 N MAIN STREET, SUITE A
City WALNUT CREEK
State CA
ZIP 94596
Phone 925 932-7715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director KANWAL KHER

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This page was last updated on: 3/20/2025