05D0994020 CLIA NUMBER - KAISER PERMANENTE POST ACUTE CARE CTR

Laboratory Demographics

  • CLIA Code: 05D0994020
  • Facility Name: KAISER PERMANENTE POST ACUTE CARE CTR
  • Facility Address: 1440 168TH AVENUE
    SAN LEANDRO, CA
    ZIP 94578
  • Facility Phone: 510 481-6306
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE SANDOVAL-PERRY
  • NPI Number: 1770657561
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0994020
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KAISER PERMANENTE POST ACUTE CARE CTR
Street 1440 168TH AVENUE
City SAN LEANDRO
State CA
ZIP 94578
Phone 510 481-6306
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JULIE SANDOVAL-PERRY

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