05D0880969 CLIA NUMBER - ST ANTHONY SERENETHOS SNF, LLC

Laboratory Demographics

  • CLIA Code: 05D0880969
  • Facility Name: ST ANTHONY SERENETHOS SNF, LLC
  • Facility Address: 553 SMALLEY AVENUE
    HAYWARD, CA
    ZIP 94541
  • Facility Phone: 510 962-8298
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW NG
  • NPI Number: 1689063489
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0880969
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST ANTHONY SERENETHOS SNF, LLC
Street 553 SMALLEY AVENUE
City HAYWARD
State CA
ZIP 94541
Phone 510 962-8298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ANDREW NG

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