05D1019728 CLIA NUMBER - OAKLAND CA ENDOSCOPY ASC LP DBA EAST BAY ENDOSURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1019728
  • Facility Name: OAKLAND CA ENDOSCOPY ASC LP DBA EAST BAY ENDOSURGERY CENTER
  • Facility Address: 300 FRANK OGAWA PLAZA SUITE 135
    OAKLAND, CA
    ZIP 94612
  • Facility Phone: 510 893-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LIANA VESGA
  • NPI Number: 1053496240
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1019728
LAB Type Ambulatory Surgery Center
Facility Name OAKLAND CA ENDOSCOPY ASC LP DBA EAST BAY ENDOSURGERY CENTER
Street 300 FRANK OGAWA PLAZA SUITE 135
City OAKLAND
State CA
ZIP 94612
Phone 510 893-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Ambulatory Surgery Center
Lab Director LIANA VESGA

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