05D2102619 CLIA NUMBER - ALAMEDA COUNTY COMMUNITY FOOD BANK

Laboratory Demographics

CLIA Number: 05D2102619

Facility Name: ALAMEDA COUNTY COMMUNITY FOOD BANK

Facility Address:
7900 EDGEWATER DR
OAKLAND, CA
ZIP 94621
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Facility Phone Number: 510 635-3663

Facility Type: Health Fair

Certificate Type: Waiver

NPI Number: 1386916344

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	05D2102619
LAB Type	Health Fair
Facility Name	ALAMEDA COUNTY COMMUNITY FOOD BANK
Street	7900 EDGEWATER DR
City	OAKLAND
State	CA
ZIP	94621
Phone	510 635-3663
CertificateType	4
CertificateEffectiveDate	9/25/2023
CertificateExpirationDate	9/24/2025
FacilityType	Waiver

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