05D2081531 CLIA NUMBER - PACIFICA FAMILY MATERNITY CENTER

Laboratory Demographics

  • CLIA Code: 05D2081531
  • Facility Name: PACIFICA FAMILY MATERNITY CENTER
  • Facility Address: 3101 TELEGRAPH AVE
    BERKELEY, CA
    ZIP 94705
  • Facility Phone: 510 280-5543
  • Facility Type: Other - ALTERNATIVE BIRTHING CTR
  • Facility Type: Microscopy
  • Lab Director: ORI TZVIELI
  • NPI Number: 1336407907
  • Taxonomy: 176B00000X - Midwife

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2081531
LAB Type Other - ALTERNATIVE BIRTHING CTR
Facility Name PACIFICA FAMILY MATERNITY CENTER
Street 3101 TELEGRAPH AVE
City BERKELEY
State CA
ZIP 94705
Phone 510 280-5543
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 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Other - ALTERNATIVE BIRTHING CTR
Lab Director ORI TZVIELI

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