05D0715744 CLIA NUMBER - KYAKAMEENA SKILLED NURSING FACILITY

Laboratory Demographics

  • CLIA Code: 05D0715744
  • Facility Name: KYAKAMEENA SKILLED NURSING FACILITY
  • Facility Address: 2131 CARLETON STREET
    BERKELEY, CA
    ZIP 94704
  • Facility Phone: 510 843-2131
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALAN L. GREENBAUM
  • NPI Number: 1912072554
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0715744
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KYAKAMEENA SKILLED NURSING FACILITY
Street 2131 CARLETON STREET
City BERKELEY
State CA
ZIP 94704
Phone 510 843-2131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALAN L. GREENBAUM

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