05D0602862 CLIA NUMBER - LORETTA F EARLY MD

Laboratory Demographics

  • CLIA Code: 05D0602862
  • Facility Name: LORETTA F EARLY MD
  • Facility Address: 4100 35TH AVE
    OAKLAND, CA
    ZIP 94619
  • Facility Phone: 510 530-6790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORETTA F. EARLY
  • NPI Number: 1063428084
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0602862
LAB Type Physician Office
Facility Name LORETTA F EARLY MD
Street 4100 35TH AVE
City OAKLAND
State CA
ZIP 94619
Phone 510 530-6790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director LORETTA F. EARLY

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