05D2310497 CLIA NUMBER - ROBERTSON SURGERY CENTER - OAKLAND

Laboratory Demographics

  • CLIA Code: 05D2310497
  • Facility Name: ROBERTSON SURGERY CENTER - OAKLAND
  • Facility Address: 80 GRAND AVE STE M-1
    OAKLAND, CA
    ZIP 94612
  • Facility Phone: 310 464-1244
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH ENAYATI
  • NPI Number: 1982180782
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2310497
LAB Type Ambulatory Surgery Center
Facility Name ROBERTSON SURGERY CENTER - OAKLAND
Street 80 GRAND AVE STE M-1
City OAKLAND
State CA
ZIP 94612
Phone 310 464-1244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH ENAYATI

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