05D0719152 CLIA NUMBER - KINDRED NURSING AND HEALTHCARE LIVERMORE

Laboratory Demographics

  • CLIA Code: 05D0719152
  • Facility Name: KINDRED NURSING AND HEALTHCARE LIVERMORE
  • Facility Address: 76 FENTON ST
    LIVERMORE, CA
    ZIP 94550
  • Facility Phone: 925 443-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MUSTAFA M. KAZEMI MD
  • NPI Number: 1427072040
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0719152
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KINDRED NURSING AND HEALTHCARE LIVERMORE
Street 76 FENTON ST
City LIVERMORE
State CA
ZIP 94550
Phone 925 443-1800
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 MUSTAFA M. KAZEMI MD

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