05D0942636 CLIA NUMBER - SUTTER EAST BAY WOMEN'S HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D0942636
  • Facility Name: SUTTER EAST BAY WOMEN'S HEALTH CLINIC
  • Facility Address: 350 30TH ST
    OAKLAND, CA
    ZIP 94609
  • Facility Phone: 510 869-8425
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JULIA BLEY
  • NPI Number: 1811021405
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0942636
LAB Type Community Clinic
Facility Name SUTTER EAST BAY WOMEN'S HEALTH CLINIC
Street 350 30TH ST
City OAKLAND
State CA
ZIP 94609
Phone 510 869-8425
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Community Clinic
Lab Director JULIA BLEY

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