05D2131966 CLIA NUMBER - TECHNI CLINIC

Laboratory Demographics

  • CLIA Code: 05D2131966
  • Facility Name: TECHNI CLINIC
  • Facility Address: 4351 BROADWAY
    OAKLAND, CA
    ZIP 94611
  • Facility Phone: 510 450-5421
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: AMY HALIO
  • NPI Number: 1013085778
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2131966
LAB Type Federally Qualified Health Center
Facility Name TECHNI CLINIC
Street 4351 BROADWAY
City OAKLAND
State CA
ZIP 94611
Phone 510 450-5421
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 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Federally Qualified Health Center
Lab Director AMY HALIO

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This page was last updated on: 9/29/2025