05D2098537 CLIA NUMBER - ANTHONY BERNENS, MD A DIV OF BASS MED GROUP

Laboratory Demographics

  • CLIA Code: 05D2098537
  • Facility Name: ANTHONY BERNENS, MD A DIV OF BASS MED GROUP
  • Facility Address: 2637 SHADELANDS DRIVE
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 378-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY T. BERNENS MD
  • NPI Number: 1215983440
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2098537
LAB Type Physician Office
Facility Name ANTHONY BERNENS, MD A DIV OF BASS MED GROUP
Street 2637 SHADELANDS DRIVE
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 378-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director ANTHONY T. BERNENS MD

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