05D0988246 CLIA NUMBER - OAKLAND VA CBOC BEHAVIORAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D0988246
  • Facility Name: OAKLAND VA CBOC BEHAVIORAL HEALTH CLINIC
  • Facility Address: 525 21ST STREET
    OAKLAND, CA
    ZIP 94612
  • Facility Phone: 510 267-7833
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: STEPHEN COOK
  • NPI Number: 1215503230
  • Taxonomy: 332100000X - Department of Veterans Affairs (VA) Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0988246
LAB Type Community Clinic
Facility Name OAKLAND VA CBOC BEHAVIORAL HEALTH CLINIC
Street 525 21ST STREET
City OAKLAND
State CA
ZIP 94612
Phone 510 267-7833
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/22/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director STEPHEN COOK

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