05D2324746 CLIA NUMBER - KAPLAN DENTAL GROUP INNOVATIONS, PC

Laboratory Demographics

  • CLIA Code: 05D2324746
  • Facility Name: KAPLAN DENTAL GROUP INNOVATIONS, PC
  • Facility Address: 1333 BROADWAY, FL 3
    OAKLAND, CA
    ZIP 94612
  • Facility Phone: 510 986-0220
  • Facility Type: Other - DENTAL GROUP
  • Facility Type: Waiver
  • Lab Director: GREGORY D. KAPLAN
  • NPI Number: 1649008400
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2324746
LAB Type Other - DENTAL GROUP
Facility Name KAPLAN DENTAL GROUP INNOVATIONS, PC
Street 1333 BROADWAY, FL 3
City OAKLAND
State CA
ZIP 94612
Phone 510 986-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Other - DENTAL GROUP
Lab Director GREGORY D. KAPLAN

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