05D0700370 CLIA NUMBER - FIRST RESORT DBA SUPPORT CIRCLE

Laboratory Demographics

CLIA Number: 05D0700370

Facility Name: FIRST RESORT DBA SUPPORT CIRCLE

Facility Address:
400 30TH STREET SUITE 401
OAKLAND, CA
ZIP 94609
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Facility Phone Number: (510) 891-9985

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1053657569

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0700370
LAB Type	COMMUNITY CLINIC
Facility Name	FIRST RESORT DBA SUPPORT CIRCLE
Street	400 30TH STREET SUITE 401
City	OAKLAND
State	CA
ZIP	94609
Phone	(510) 891-9985

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