05D2275210 CLIA NUMBER - BERKELEY OUTPATIENT IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 05D2275210
  • Facility Name: BERKELEY OUTPATIENT IMAGING CENTER
  • Facility Address: 3100 SAN PABLO AVE, STE 330
    BERKELEY, CA
    ZIP 94702
  • Facility Phone: 415 353-8628
  • Facility Type: Other - AMBULATORY SITE
  • Facility Type: Waiver
  • Lab Director: CLIFTON WATT
  • NPI Number: 1497940134
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 05D2275210
LAB Type Other - AMBULATORY SITE
Facility Name BERKELEY OUTPATIENT IMAGING CENTER
Street 3100 SAN PABLO AVE, STE 330
City BERKELEY
State CA
ZIP 94702
Phone 415 353-8628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Other - AMBULATORY SITE
Lab Director CLIFTON WATT

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