05D2068767 CLIA NUMBER - RICHARD L. GILLIAM, MD

Laboratory Demographics

  • CLIA Code: 05D2068767
  • Facility Name: RICHARD L. GILLIAM, MD
  • Facility Address: 2440 FREMONT ST STE 102B
    MONTEREY, CA
    ZIP 93940
  • Facility Phone: 831 646-3190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD L. GILLIAM, MD
  • NPI Number: 1497085195
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2068767
LAB Type Physician Office
Facility Name RICHARD L. GILLIAM, MD
Street 2440 FREMONT ST STE 102B
City MONTEREY
State CA
ZIP 93940
Phone 831 646-3190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director RICHARD L. GILLIAM, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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