05D2004447 CLIA NUMBER - EYE MD LASER & SURGERY CENTER

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Laboratory Demographics

CLIA Number: 05D2004447

Facility Name: EYE MD LASER & SURGERY CENTER

Facility Address:
481 30TH STREET
OAKLAND, CA
ZIP 94609
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Facility Phone Number: (510) 835-4521

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1447301593

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2004447
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	EYE MD LASER & SURGERY CENTER
Street	481 30TH STREET
City	OAKLAND
State	CA
ZIP	94609
Phone	(510) 835-4521

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This page was last updated on: 5/11/2023