05D0716007 CLIA NUMBER - SUTTER EAST BAY MEDICAL FOUNDATION - OAKLAND

Laboratory Demographics

  • CLIA Code: 05D0716007
  • Facility Name: SUTTER EAST BAY MEDICAL FOUNDATION - OAKLAND
  • Facility Address: 350 30TH STREET
    OAKLAND, CA
    ZIP 94609
  • Facility Phone: 510 204-8290
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JONATHAN S. LEE
  • NPI Number: 1740279959
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0716007
LAB Type Physician Office
Facility Name SUTTER EAST BAY MEDICAL FOUNDATION - OAKLAND
Street 350 30TH STREET
City OAKLAND
State CA
ZIP 94609
Phone 510 204-8290
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director DR. JONATHAN S. LEE

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