05D0643826 CLIA NUMBER - EASTMONT WELLNESS

Laboratory Demographics

CLIA Number: 05D0643826

Facility Name: EASTMONT WELLNESS

Facility Address:
6955 FOOTHILL BLVD STE 200
OAKLAND, CA
ZIP 94605
Get Directions

Facility Phone Number: 510 567-5700

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1104959089

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024