05D2125830 CLIA NUMBER - KELLY M HALL D.C

Laboratory Demographics

  • CLIA Code: 05D2125830
  • Facility Name: KELLY M HALL D.C
  • Facility Address: 565 SYCAMORE VALLEY RD W
    DANVILLE, CA
    ZIP 94526
  • Facility Phone: 925 837-5595
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELLY M. HALL
  • NPI Number: 1093740763
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2125830
LAB Type Practitioner Other
Facility Name KELLY M HALL D.C
Street 565 SYCAMORE VALLEY RD W
City DANVILLE
State CA
ZIP 94526
Phone 925 837-5595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Practitioner Other
Lab Director KELLY M. HALL

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