UNIVERSITY OF CALIFORNIA
NPI 1679876833
Clinic/Center in Berkeley, CA
- Organization
- Clinic/Center
- CLIA Number: 05D0882869
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 05-26-2026
About UNIVERSITY OF CALIFORNIA
This page provides the complete NPI Profile along with additional information for University Of California, a provider established in Berkeley, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1679876833 assigned on December 2010. The practitioner's primary taxonomy code is 261Q00000X with license number 130467 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Margaret Mary Brennan Rn (Clinical Nurse Ii)
- NPI
- 1679876833 Verify this NPI
- Provider Name
- UNIVERSITY OF CALIFORNIA
- Entity Type
- Organization
- Location Address
- 2222 BANCROFT WAY BERKELEY, CA 94720
- Location Phone
- (510) 643-8148
- Mailing Address
- 2222 BANCROFT WAY BERKELEY, CA 94720
- Mailing Phone
- (510) 643-8148
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2010
- Last Update Date
- 12-09-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 130467
- License State
- CA
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0882869
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- May 27, 2024
- Certificate Expiration Date
- May 26, 2026
- Laboratory Director
- DENNIS M. DWYRE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to University Of California after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
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BERKELEY, CA 94720
BERKELEY, CA 94720
BERKELEY, CA 94720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679876833, enumerated as an "organization" on December 09, 2010.
The provider is located at 2222 BANCROFT WAY BERKELEY, CA 94720 and the phone number is (510) 643-8148.
Clinic/Center with taxonomy code 261Q00000X.