05D2223561 CLIA NUMBER - MEDEA INC DBA MEDEA TESTING SOLUTIONS

Laboratory Demographics

  • CLIA Code: 05D2223561
  • Facility Name: MEDEA INC DBA MEDEA TESTING SOLUTIONS
  • Facility Address: 351 SAINT MARY STREET
    PLEASANTON, CA
    ZIP 94566
  • Facility Phone: 925 425-9282
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BRANT L. REGO
  • NPI Number: 1649940719
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2223561
LAB Type Mobile Laboratory
Facility Name MEDEA INC DBA MEDEA TESTING SOLUTIONS
Street 351 SAINT MARY STREET
City PLEASANTON
State CA
ZIP 94566
Phone 925 425-9282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Mobile Laboratory
Lab Director BRANT L. REGO

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