05D2036282 CLIA NUMBER - LA CLINICA OAKLEY

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Laboratory Demographics

CLIA Number: 05D2036282

Facility Name: LA CLINICA OAKLEY

Facility Address:
2021 MAIN ST
OAKLEY, CA
ZIP 94561
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Facility Phone Number: 925 776-8215

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1578834164

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2036282
LAB Type	Federally Qualified Health Center
Facility Name	LA CLINICA OAKLEY
Street	2021 MAIN ST
City	OAKLEY
State	CA
ZIP	94561
Phone	925 776-8215
CertificateType	3
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024