05D1020064 CLIA NUMBER - KAISER PERMANENTE - DIVISION OF RESEARCH

Laboratory Demographics

  • CLIA Code: 05D1020064
  • Facility Name: KAISER PERMANENTE - DIVISION OF RESEARCH
  • Facility Address: 3505 BROADWAY, 9TH FL
    OAKLAND, CA
    ZIP 94611
  • Facility Phone: 510 891-3270
  • Facility Type: Other - RESEARCH
  • Facility Type: Waiver
  • Lab Director: TRACY LIEU
  • NPI Number: 1366825754
  • Taxonomy: 170300000X - Genetic Counselor, MS

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CLIA Record

Field Name Field Value
CLIA Number 05D1020064
LAB Type Other - RESEARCH
Facility Name KAISER PERMANENTE - DIVISION OF RESEARCH
Street 3505 BROADWAY, 9TH FL
City OAKLAND
State CA
ZIP 94611
Phone 510 891-3270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Other - RESEARCH
Lab Director TRACY LIEU

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