05D2269157 CLIA NUMBER - PIONEER DIAGNOSTICS AND RESEARCH CORP

Laboratory Demographics

CLIA Number: 05D2269157

Facility Name: PIONEER DIAGNOSTICS AND RESEARCH CORP

Facility Address:
1050 MURRIETA BLVD
LIVERMORE, CA
ZIP 94550
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Facility Phone Number: 925 413-0780

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1477932689

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2269157
LAB Type	Independent
Facility Name	PIONEER DIAGNOSTICS AND RESEARCH CORP
Street	1050 MURRIETA BLVD
City	LIVERMORE
State	CA
ZIP	94550
Phone	925 413-0780
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024