05D2061097 CLIA NUMBER - BERKELEY MENTAL HEALTH

Laboratory Demographics

  • CLIA Code: 05D2061097
  • Facility Name: BERKELEY MENTAL HEALTH
  • Facility Address: 2640 MARTIN LUTHER KING JR WAY
    BERKELEY, CA
    ZIP 94704
  • Facility Phone: 510 981-5290
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JEFFREY F. JOHNS MD
  • NPI Number: 1265816235
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 05D2061097
LAB Type Community Clinic
Facility Name BERKELEY MENTAL HEALTH
Street 2640 MARTIN LUTHER KING JR WAY
City BERKELEY
State CA
ZIP 94704
Phone 510 981-5290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Community Clinic
Lab Director JEFFREY F. JOHNS MD

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