05D2323779 CLIA NUMBER - STEVEN B DEGALAN MD

Laboratory Demographics

  • CLIA Code: 05D2323779
  • Facility Name: STEVEN B DEGALAN MD
  • Facility Address: 39231 LIBERTY ST
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 795-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN B. DEGALAN
  • NPI Number: 1508849860
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2323779
LAB Type Physician Office
Facility Name STEVEN B DEGALAN MD
Street 39231 LIBERTY ST
City FREMONT
State CA
ZIP 94538
Phone 510 795-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director STEVEN B. DEGALAN

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