05D0643826 CLIA NUMBER - EASTMONT WELLNESS

Laboratory Demographics

  • CLIA Code: 05D0643826
  • Facility Name: EASTMONT WELLNESS
  • Facility Address: 6955 FOOTHILL BLVD STE 200
    OAKLAND, CA
    ZIP 94605
  • Facility Phone: 510 567-5700
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JESSICA S. WANG
  • NPI Number: 1104959089
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0643826
LAB Type Federally Qualified Health Center
Facility Name EASTMONT WELLNESS
Street 6955 FOOTHILL BLVD STE 200
City OAKLAND
State CA
ZIP 94605
Phone 510 567-5700
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Federally Qualified Health Center
Lab Director JESSICA S. WANG

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