05D0943266 CLIA NUMBER - SUTTER EAST BAY MEDICAL FOUNDATION - MILVIA

Laboratory Demographics

  • CLIA Code: 05D0943266
  • Facility Name: SUTTER EAST BAY MEDICAL FOUNDATION - MILVIA
  • Facility Address: 2500 MILVIA ST
    BERKELEY, CA
    ZIP 94704
  • Facility Phone: 510 204-5600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JILL D. FOLEY
  • NPI Number: 1922180827
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D0943266
LAB Type Physician Office
Facility Name SUTTER EAST BAY MEDICAL FOUNDATION - MILVIA
Street 2500 MILVIA ST
City BERKELEY
State CA
ZIP 94704
Phone 510 204-5600
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 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director JILL D. FOLEY

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