05D0857046 CLIA NUMBER - ALAMEDA COUNTY SANTA RITA JAIL

Laboratory Demographics

  • CLIA Code: 05D0857046
  • Facility Name: ALAMEDA COUNTY SANTA RITA JAIL
  • Facility Address: 5325 BRODER BLVD
    DUBLIN, CA
    ZIP 94568
  • Facility Phone: 925 551-6701
  • Facility Type: Other - JAIL
  • Facility Type: Microscopy
  • Lab Director: VIVEK SHAH, MD
  • NPI Number: 1063807725
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 05D0857046
LAB Type Other - JAIL
Facility Name ALAMEDA COUNTY SANTA RITA JAIL
Street 5325 BRODER BLVD
City DUBLIN
State CA
ZIP 94568
Phone 925 551-6701
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Other - JAIL
Lab Director VIVEK SHAH, MD

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