05D0726638 CLIA NUMBER - EMMANUEL CONVALESCENT HOSPITAL OF ALAMEDA

Laboratory Demographics

  • CLIA Code: 05D0726638
  • Facility Name: EMMANUEL CONVALESCENT HOSPITAL OF ALAMEDA
  • Facility Address: 508 WESTLINE DRIVE
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 521-5765
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLY D. MESA
  • NPI Number: 1083635924
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0726638
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EMMANUEL CONVALESCENT HOSPITAL OF ALAMEDA
Street 508 WESTLINE DRIVE
City ALAMEDA
State CA
ZIP 94501
Phone 510 521-5765
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 WILLY D. MESA

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