05D2204636 CLIA NUMBER - JENNIFER CHIU'S LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2204636
  • Facility Name: JENNIFER CHIU'S LABORATORY
  • Facility Address: 2100 MONUMENT BLVD STE 18
    PLEASANT HILL, CA
    ZIP 94523
  • Facility Phone: 925 849-6051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER CHIU
  • NPI Number: 1528664679
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2204636
LAB Type Physician Office
Facility Name JENNIFER CHIU'S LABORATORY
Street 2100 MONUMENT BLVD STE 18
City PLEASANT HILL
State CA
ZIP 94523
Phone 925 849-6051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director JENNIFER CHIU

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