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LAUREL PEDIATRICS
NPI 1396911806
Clinic/Center in Oakland, CA

Active since May 05, 2008CLIA 05D1089184 · Waiver
3055 MACARTHUR BLVD, OAKLAND, CA 94602(510) 530-1111(510) 588-4701 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurel Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL PEDIATRICS (NPI 1396911806) is a healthcare organization registered as a clinic/center in Oakland, California and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Carol E Glann, Owner, as its authorized official.

NPPES Registry Identity

NPI1396911806
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAUREL PEDIATRICS
Location Address3055 MACARTHUR BLVDOakland, CA 94602-3211
Mailing Address3055 Macarthur BlvdOakland, CA 94602-3211 · (510) 530-1111 · Fax (510) 588-4701
Phone(510) 530-1111
Fax(510) 588-4701
Organization SubpartNo
Authorized OfficialCarol E GlannOwner · (510) 530-1111
Enumeration DateMay 5, 2008
✔ NPI 1396911806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3055 MACARTHUR BLVD, Oakland, CA 94602
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1089184

Laurel Pediatrics · Oakland, CA
Active · expires Sep 10, 2026
CLIA Number05D1089184
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorCarol E. Glann, MD
Laboratory Phone(510) 530-1111
Laboratory LocationLaurel Pediatrics3055 Macarthur Blvd, Oakland, CA 94602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL ELIZABETH GLANN MD
Pediatrics
3055 MACARTHUR BLVD
OAKLAND, CA 94602
Alameda County (510) 530-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Pediatrics's NPI number?

The NPI number for Laurel Pediatrics is 1396911806. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Laurel Pediatrics located?

Laurel Pediatrics is located at 3055 Macarthur Blvd, Oakland, CA 94602. The listed phone number is (510) 530-1111.

What is Laurel Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Laurel Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1089184) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laurel Pediatrics was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.