05D0722928 CLIA NUMBER - MCCLURE CONVALESCENT HOSP

Laboratory Demographics

CLIA Number: 05D0722928

Facility Name: MCCLURE CONVALESCENT HOSP

Facility Address:
2910 MCCLURE ST
OAKLAND, CA
ZIP 94609
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Facility Phone Number: 510 836-3677

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1922090091

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	05D0722928
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MCCLURE CONVALESCENT HOSP
Street	2910 MCCLURE ST
City	OAKLAND
State	CA
ZIP	94609
Phone	510 836-3677
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024