05D0883158 CLIA NUMBER - FRUITVALE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0883158
  • Facility Name: FRUITVALE HEALTHCARE CENTER
  • Facility Address: 3020 EAST 15TH ST
    OAKLAND, CA
    ZIP 94601
  • Facility Phone: 510 261-5613
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TYRONE SNIPES
  • NPI Number: 1508295478
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0883158
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FRUITVALE HEALTHCARE CENTER
Street 3020 EAST 15TH ST
City OAKLAND
State CA
ZIP 94601
Phone 510 261-5613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TYRONE SNIPES

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