05D0700370 CLIA NUMBER - REALOPTIONS OBRIA MEDICAL CLINICS OF OAKLAND

Laboratory Demographics

  • CLIA Code: 05D0700370
  • Facility Name: REALOPTIONS OBRIA MEDICAL CLINICS OF OAKLAND
  • Facility Address: 400 30TH STREET SUITE 401
    OAKLAND, CA
    ZIP 94609
  • Facility Phone: 510 891-9998
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARY DAVENPORT
  • NPI Number: 1053657569
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0700370
LAB Type Community Clinic
Facility Name REALOPTIONS OBRIA MEDICAL CLINICS OF OAKLAND
Street 400 30TH STREET SUITE 401
City OAKLAND
State CA
ZIP 94609
Phone 510 891-9998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director MARY DAVENPORT

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