05D0663165 CLIA NUMBER - USCG BASE ALAMEDA

Laboratory Demographics

  • CLIA Code: 05D0663165
  • Facility Name: USCG BASE ALAMEDA
  • Facility Address: COAST GUARD ISLAND BLDG 21
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 437-5999
  • Facility Type: Other - USCG
  • Facility Type: Waiver
  • Lab Director: LCDR DOUGLAS A. CORDEL
  • NPI Number: 1326100827
  • Taxonomy: 261QM1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0663165
LAB Type Other - USCG
Facility Name USCG BASE ALAMEDA
Street COAST GUARD ISLAND BLDG 21
City ALAMEDA
State CA
ZIP 94501
Phone 510 437-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Other - USCG
Lab Director LCDR DOUGLAS A. CORDEL

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This page was last updated on: 6/4/2025