05D2191936 CLIA NUMBER - ROSS PIRKLE MD A DIV OF BASS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2191936
  • Facility Name: ROSS PIRKLE MD A DIV OF BASS MEDICAL GROUP
  • Facility Address: 120 LA CASA VIA SUITE 211
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 378-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSS PIRKLE
  • NPI Number: 1184656688
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2191936
LAB Type Physician Office
Facility Name ROSS PIRKLE MD A DIV OF BASS MEDICAL GROUP
Street 120 LA CASA VIA SUITE 211
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 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director ROSS PIRKLE

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