05D2216124 CLIA NUMBER - EAST BAY EYE CENTER

Laboratory Demographics

  • CLIA Code: 05D2216124
  • Facility Name: EAST BAY EYE CENTER
  • Facility Address: 5801 NORRIS CANYON RD STE 200
    SAN RAMON, CA
    ZIP 94583
  • Facility Phone: 925 830-8823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AIMEE EDELL
  • NPI Number: 1780633644
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2216124
LAB Type Physician Office
Facility Name EAST BAY EYE CENTER
Street 5801 NORRIS CANYON RD STE 200
City SAN RAMON
State CA
ZIP 94583
Phone 925 830-8823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director AIMEE EDELL

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This page was last updated on: 6/4/2025