05D2004447 CLIA NUMBER - EYE MD LASER & SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2004447
  • Facility Name: EYE MD LASER & SURGERY CENTER
  • Facility Address: 481 30TH STREET
    OAKLAND, CA
    ZIP 94609
  • Facility Phone: 510 835-4521
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD H. LEE
  • NPI Number: 1447301593
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD H. LEE

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