05D2051767 CLIA NUMBER - LA CLINICA DE LA RAZA - PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D2051767
  • Facility Name: LA CLINICA DE LA RAZA - PRIMARY CARE
  • Facility Address: 3451 E 12TH ST 2ND FL
    OAKLAND, CA
    ZIP 94601
  • Facility Phone: 510 535-3524
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SHARON OHARA
  • NPI Number: 1851788004
  • Taxonomy: 124Q00000X - Dental Hygienist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2051767
LAB Type Federally Qualified Health Center
Facility Name LA CLINICA DE LA RAZA - PRIMARY CARE
Street 3451 E 12TH ST 2ND FL
City OAKLAND
State CA
ZIP 94601
Phone 510 535-3524
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Federally Qualified Health Center
Lab Director SHARON OHARA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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