05D2152284 CLIA NUMBER - ROOTS COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D2152284

Facility Name: ROOTS COMMUNITY HEALTH CENTER

Facility Address:
583 5TH ST STE A
OAKLAND, CA
ZIP 94607
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Facility Phone Number: 510 839-0929

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1952942575

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2152284
LAB Type	Community Clinic
Facility Name	ROOTS COMMUNITY HEALTH CENTER
Street	583 5TH ST STE A
City	OAKLAND
State	CA
ZIP	94607
Phone	510 839-0929
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

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