05D2172951 CLIA NUMBER - ONE MEDICAL

Laboratory Demographics

  • CLIA Code: 05D2172951
  • Facility Name: ONE MEDICAL
  • Facility Address: 7554 DUBLIN BOULEVARD
    DUBLIN, CA
    ZIP 94568
  • Facility Phone: 888 663-6331
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DIVYA RAJ
  • NPI Number: 1669047924
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2172951
LAB Type Physician Office
Facility Name ONE MEDICAL
Street 7554 DUBLIN BOULEVARD
City DUBLIN
State CA
ZIP 94568
Phone 888 663-6331
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director DIVYA RAJ

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