05D0942632 CLIA NUMBER - EAST BAY PERINATAL CENTER DBA ALTA BATES SUMMIT PERINATAL CENTER

Laboratory Demographics

CLIA Number: 05D0942632

Facility Name: EAST BAY PERINATAL CENTER DBA ALTA BATES SUMMIT PERINATAL CENTER

Facility Address:
350 30TH STREET, #205
OAKLAND, CA
ZIP 94609
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Facility Phone Number: 510 444-0790

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1144272170

Taxonomy: 207VM0101X - Obstetrics & Gynecology
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

CLIA Record

Field Name	Field Value
CLIA Number	05D0942632
LAB Type	Physician Office
Facility Name	EAST BAY PERINATAL CENTER DBA ALTA BATES SUMMIT PERINATAL CENTER
Street	350 30TH STREET, #205
City	OAKLAND
State	CA
ZIP	94609
Phone	510 444-0790
CertificateType	3
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	PPMP

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