05D2316044 CLIA NUMBER - CONTRA COSTA REHAB LLC

Laboratory Demographics

  • CLIA Code: 05D2316044
  • Facility Name: CONTRA COSTA REHAB LLC
  • Facility Address: 3700 SUNSET LN, SUITE 2
    ANTIOCH, CA
    ZIP 94509
  • Facility Phone: 310 343-8684
  • Facility Type: Other - IOP
  • Facility Type: Waiver
  • Lab Director: JISEUNG YOON
  • NPI Number: 1275227084
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2316044
LAB Type Other - IOP
Facility Name CONTRA COSTA REHAB LLC
Street 3700 SUNSET LN, SUITE 2
City ANTIOCH
State CA
ZIP 94509
Phone 310 343-8684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Other - IOP
Lab Director JISEUNG YOON

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