05D2169641 CLIA NUMBER - OSITA HEALTH CLINIC

Laboratory Demographics

CLIA Number: 05D2169641

Facility Name: OSITA HEALTH CLINIC

Facility Address:
2521 SEMINARY AVENUE SUITE 1
OAKLAND, CA
ZIP 94605
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Facility Phone Number: 510 777-1000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649743345

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D2169641
LAB Type	Physician Office
Facility Name	OSITA HEALTH CLINIC
Street	2521 SEMINARY AVENUE SUITE 1
City	OAKLAND
State	CA
ZIP	94605
Phone	510 777-1000
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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