05D2290514 CLIA NUMBER - GRATITUDE COLLABORATIVE HEALING

Laboratory Demographics

  • CLIA Code: 05D2290514
  • Facility Name: GRATITUDE COLLABORATIVE HEALING
  • Facility Address: 5601 NORRIS CANYON RD
    SAN RAMON, CA
    ZIP 94583
  • Facility Phone: 925 820-6456
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARIN DENEVI
  • NPI Number: 1740926112
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2290514
LAB Type Physician Office
Facility Name GRATITUDE COLLABORATIVE HEALING
Street 5601 NORRIS CANYON RD
City SAN RAMON
State CA
ZIP 94583
Phone 925 820-6456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director KARIN DENEVI

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