05D2245368 CLIA NUMBER - PASSPORT HEALTH

Laboratory Demographics

CLIA Number: 05D2245368

Facility Name: PASSPORT HEALTH

Facility Address:
333 HEGENBERGER ROAD #311
OAKLAND, CA
ZIP 94621
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Facility Phone Number: 480 646-9028

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437564929

Taxonomy: 172V00000X - Community Health Worker
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

CLIA Record

Field Name Field Value
CLIA Number 05D2245368
LAB Type Physician Office
Facility Name PASSPORT HEALTH
Street 333 HEGENBERGER ROAD #311
City OAKLAND
State CA
ZIP 94621
Phone 480 646-9028
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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