05D0942636 CLIA NUMBER - EAST BAY PERINATAL CENTER DBA ALTA BATES SUMMIT PERINATAL CENTER

Laboratory Demographics

CLIA Number: 05D0942636

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

Facility Address:
350 30TH STREET, SUITE 205
OAKLAND, CA
ZIP 94609
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Facility Phone Number: 510 869-8425

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1811021405

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	05D0942636
LAB Type	Community Clinic
Facility Name	EAST BAY PERINATAL CENTER DBA ALTA BATES SUMMIT PERINATAL CENTER
Street	350 30TH STREET, SUITE 205
City	OAKLAND
State	CA
ZIP	94609
Phone	510 869-8425
CertificateType	3
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	PPMP

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