05D0964639 CLIA NUMBER - TIGER HEALTH CLINIC

Laboratory Demographics

CLIA Number: 05D0964639

Facility Name: TIGER HEALTH CLINIC

Facility Address:
4610 FOOTHILL BLVD
OAKLAND, CA
ZIP 94601
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Facility Phone Number: 510 434-2001

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1619056926

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0964639
LAB Type	Federally Qualified Health Center
Facility Name	TIGER HEALTH CLINIC
Street	4610 FOOTHILL BLVD
City	OAKLAND
State	CA
ZIP	94601
Phone	510 434-2001
CertificateType	3
CertificateEffectiveDate	8/30/2023
CertificateExpirationDate	8/29/2025
FacilityType	PPMP

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