05D2079761 CLIA NUMBER - SENIOR PRO SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 05D2079761
  • Facility Name: SENIOR PRO SERVICES, LLC
  • Facility Address: 14798 WICKS BLVD
    SAN LEANDRO, CA
    ZIP 94577
  • Facility Phone: 510 357-2222
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAEL O'BRIEN, MD
  • NPI Number: 1528307626
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2079761
LAB Type Home Health Agency
Facility Name SENIOR PRO SERVICES, LLC
Street 14798 WICKS BLVD
City SAN LEANDRO
State CA
ZIP 94577
Phone 510 357-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Home Health Agency
Lab Director MICHAEL O'BRIEN, MD

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