05D2162643 CLIA NUMBER - PLEASANTON OPTOMETRY, INC

Laboratory Demographics

  • CLIA Code: 05D2162643
  • Facility Name: PLEASANTON OPTOMETRY, INC
  • Facility Address: 1400 SANTA RITA ROAD, SUITE F
    PLEASANTON, CA
    ZIP 94566
  • Facility Phone: 925 846-4364
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER MILLER
  • NPI Number: 1558538330
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2162643
LAB Type Physician Office
Facility Name PLEASANTON OPTOMETRY, INC
Street 1400 SANTA RITA ROAD, SUITE F
City PLEASANTON
State CA
ZIP 94566
Phone 925 846-4364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director PETER MILLER

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