05D2221303 CLIA NUMBER - NATIONAL DOCTORS GROUP LLC

Laboratory Demographics

  • CLIA Code: 05D2221303
  • Facility Name: NATIONAL DOCTORS GROUP LLC
  • Facility Address: 2800 ALVARADO ST
    SAN LEANDRO, CA
    ZIP 94577
  • Facility Phone: 470 531-3700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PAUL LANCE WALKER
  • NPI Number: 1942255948
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 05D2221303
LAB Type Practitioner Other
Facility Name NATIONAL DOCTORS GROUP LLC
Street 2800 ALVARADO ST
City SAN LEANDRO
State CA
ZIP 94577
Phone 470 531-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Practitioner Other
Lab Director PAUL LANCE WALKER

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