05D0862903 CLIA NUMBER - MORTON BAKAR CENTER

Laboratory Demographics

  • CLIA Code: 05D0862903
  • Facility Name: MORTON BAKAR CENTER
  • Facility Address: 494 BLOSSOM WAY
    HAYWARD, CA
    ZIP 94541
  • Facility Phone: 510 582-7676
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RUSSELL MONROE MD
  • NPI Number: 1841388451
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0862903
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MORTON BAKAR CENTER
Street 494 BLOSSOM WAY
City HAYWARD
State CA
ZIP 94541
Phone 510 582-7676
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 RUSSELL MONROE MD

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