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05D2100464 CLIA NUMBER - EAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES INC

Laboratory Demographics

CLIA Number: 05D2100464

Facility Name: EAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES INC

Facility Address:
300 FRANK H OGAWA PLAZA, STE 355
OAKLAND, CA
ZIP 94612
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Facility Phone Number: 510 433-7821

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1245417658

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 05D2100464
LAB Type Physician Office
Facility Name EAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES INC
Street 300 FRANK H OGAWA PLAZA, STE 355
City OAKLAND
State CA
ZIP 94612
Phone 510 433-7821
CertificateType 2
CertificateEffectiveDate 4/20/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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