05D0922787 CLIA NUMBER - GARY E BEAN MD

Laboratory Demographics

  • CLIA Code: 05D0922787
  • Facility Name: GARY E BEAN MD
  • Facility Address: 4180 PARK BLVD
    OAKLAND, CA
    ZIP 94602
  • Facility Phone: 510 530-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY E. BEAN
  • NPI Number: 1093829327
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0922787
LAB Type Physician Office
Facility Name GARY E BEAN MD
Street 4180 PARK BLVD
City OAKLAND
State CA
ZIP 94602
Phone 510 530-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director GARY E. BEAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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