05D2078689 CLIA NUMBER - BERKELEY ENDOCRINE CLINIC

Laboratory Demographics

CLIA Number: 05D2078689

Facility Name: BERKELEY ENDOCRINE CLINIC

Facility Address:
3000 COLBY ST STE 203B
BERKELEY, CA
ZIP 94705
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Facility Phone Number: 510 883-9005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962812800

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 05D2078689
LAB Type Physician Office
Facility Name BERKELEY ENDOCRINE CLINIC
Street 3000 COLBY ST STE 203B
City BERKELEY
State CA
ZIP 94705
Phone 510 883-9005
CertificateType 4
CertificateEffectiveDate 6/3/2022
CertificateExpirationDate 6/2/2024
FacilityType Waiver

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