05D2061824 CLIA NUMBER - JOHN K KONSTANTIN MD

Laboratory Demographics

  • CLIA Code: 05D2061824
  • Facility Name: JOHN K KONSTANTIN MD
  • Facility Address: 2584 MACARTHUR BLVD
    OAKLAND, CA
    ZIP 94602
  • Facility Phone: 510 530-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN K. KONSTANTIN
  • NPI Number: 1548415979
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2061824
LAB Type Physician Office
Facility Name JOHN K KONSTANTIN MD
Street 2584 MACARTHUR BLVD
City OAKLAND
State CA
ZIP 94602
Phone 510 530-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director JOHN K. KONSTANTIN

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