05D2296307 CLIA NUMBER - EVERSIDE HEALTH-ANTIOCH

Laboratory Demographics

  • CLIA Code: 05D2296307
  • Facility Name: EVERSIDE HEALTH-ANTIOCH
  • Facility Address: 5201 DEER VALLEY ROAD, STE 1-E
    ANTIOCH, CA
    ZIP 94531
  • Facility Phone: 925 658-5757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN LANDSBERG
  • NPI Number: 1104604693
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2296307
LAB Type Physician Office
Facility Name EVERSIDE HEALTH-ANTIOCH
Street 5201 DEER VALLEY ROAD, STE 1-E
City ANTIOCH
State CA
ZIP 94531
Phone 925 658-5757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Physician Office
Lab Director JOHN LANDSBERG

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