05D0865800 CLIA NUMBER - CONCENTRA - OAKLAND

Laboratory Demographics

CLIA Number: 05D0865800

Facility Name: CONCENTRA - OAKLAND

Facility Address:
384 EMBARCADERO WEST
OAKLAND, CA
ZIP 94607
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Facility Phone Number: 510 465-9565

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902095961

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D0865800
LAB Type	Physician Office
Facility Name	CONCENTRA - OAKLAND
Street	384 EMBARCADERO WEST
City	OAKLAND
State	CA
ZIP	94607
Phone	510 465-9565
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024