05D0600744 CLIA NUMBER - ALAMEDA HEALTH SYSTEM/FAIRMOUNT CAMPUS

Laboratory Demographics

  • CLIA Code: 05D0600744
  • Facility Name: ALAMEDA HEALTH SYSTEM/FAIRMOUNT CAMPUS
  • Facility Address: 15400 FOOTHILL BLVD B BLDG, GROUND FLOOR
    SAN LEANDRO, CA
    ZIP 94578
  • Facility Phone: 510 437-4668
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: HARRIS S. GOODMAN
  • NPI Number: 1831529049
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0600744
LAB Type Hospital
Facility Name ALAMEDA HEALTH SYSTEM/FAIRMOUNT CAMPUS
Street 15400 FOOTHILL BLVD B BLDG, GROUND FLOOR
City SAN LEANDRO
State CA
ZIP 94578
Phone 510 437-4668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Hospital
Lab Director HARRIS S. GOODMAN

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