05D0601766 CLIA NUMBER - LA CLINICA DE LA RAZA

Laboratory Demographics

CLIA Number: 05D0601766

Facility Name: LA CLINICA DE LA RAZA

Facility Address:
3451 E 12TH ST
OAKLAND, CA
ZIP 94601
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Facility Phone Number: (510) 715-5270

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Accreditation

NPI Number: 1780606632

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0601766
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	LA CLINICA DE LA RAZA
Street	3451 E 12TH ST
City	OAKLAND
State	CA
ZIP	94601
Phone	(510) 715-5270

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This page was last updated on: 5/11/2023