05D2295203 CLIA NUMBER - IRINA V KOLOMEY D O

Laboratory Demographics

  • CLIA Code: 05D2295203
  • Facility Name: IRINA V KOLOMEY D O
  • Facility Address: 1808 SAN MIGUEL DR
    WALNUT CREEK, CA
    ZIP 94596
  • Facility Phone: 925 363-3395
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRINA KOLOMEY
  • NPI Number: 1821779851
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2295203
LAB Type Physician Office
Facility Name IRINA V KOLOMEY D O
Street 1808 SAN MIGUEL DR
City WALNUT CREEK
State CA
ZIP 94596
Phone 925 363-3395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director IRINA KOLOMEY

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