05D2306708 CLIA NUMBER - ROYAL AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 05D2306708
  • Facility Name: ROYAL AMBULANCE INC
  • Facility Address: 14472 WICKS BLVD
    SAN LEANDRO, CA
    ZIP 94577
  • Facility Phone: 510 568-6161
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARCO RANDAZO
  • NPI Number: 1225176050
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 05D2306708
LAB Type Ambulance
Facility Name ROYAL AMBULANCE INC
Street 14472 WICKS BLVD
City SAN LEANDRO
State CA
ZIP 94577
Phone 510 568-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Ambulance
Lab Director MARCO RANDAZO

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