05D2286728 CLIA NUMBER - WALNUT CREEK DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2286728
  • Facility Name: WALNUT CREEK DERMATOLOGY
  • Facility Address: 3147 PUTNAM BLVD
    PLEASANT HILL, CA
    ZIP 94523
  • Facility Phone: 925 391-9439
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAIGE RADELL
  • NPI Number: 1265161368
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2286728
LAB Type Physician Office
Facility Name WALNUT CREEK DERMATOLOGY
Street 3147 PUTNAM BLVD
City PLEASANT HILL
State CA
ZIP 94523
Phone 925 391-9439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director PAIGE RADELL

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