05D0935616 CLIA NUMBER - CCCMA OCCUPATIONAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0935616
  • Facility Name: CCCMA OCCUPATIONAL CLINIC
  • Facility Address: 27200 CALAROGA AVE
    HAYWARD, CA
    ZIP 94545
  • Facility Phone: 510 264-4046
  • Facility Type: Other - OCC CLINIC
  • Facility Type: Waiver
  • Lab Director: ASHIT JAIN, MD
  • NPI Number: 1174955587
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0935616
LAB Type Other - OCC CLINIC
Facility Name CCCMA OCCUPATIONAL CLINIC
Street 27200 CALAROGA AVE
City HAYWARD
State CA
ZIP 94545
Phone 510 264-4046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Other - OCC CLINIC
Lab Director ASHIT JAIN, MD

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