05D0713484 CLIA NUMBER - SUTTER EAST BAY MEDICAL FOUNDATION - ORINDA

Laboratory Demographics

  • CLIA Code: 05D0713484
  • Facility Name: SUTTER EAST BAY MEDICAL FOUNDATION - ORINDA
  • Facility Address: 12 CAMINO ENCINAS
    ORINDA, CA
    ZIP 94563
  • Facility Phone: 510 204-8189
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JILL FOLEY
  • NPI Number: 1366898538
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0713484
LAB Type Physician Office
Facility Name SUTTER EAST BAY MEDICAL FOUNDATION - ORINDA
Street 12 CAMINO ENCINAS
City ORINDA
State CA
ZIP 94563
Phone 510 204-8189
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 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director JILL FOLEY

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