05D2271443 CLIA NUMBER - TELECARE GLADMAN MHRC

Laboratory Demographics

CLIA Code: 05D2271443
Facility Name: TELECARE GLADMAN MHRC
Facility Address: 2633 E 27TH ST
OAKLAND, CA
ZIP 94601
Facility Phone: 510 536-8111
Facility Type: Other - MENTAL HEALTH REHABILITAT
Facility Type: Waiver
Lab Director: FRANCESCO ISOLANI
NPI Number: 1871679027
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2271443
LAB Type	Other - MENTAL HEALTH REHABILITAT
Facility Name	TELECARE GLADMAN MHRC
Street	2633 E 27TH ST
City	OAKLAND
State	CA
ZIP	94601
Phone	510 536-8111
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/2/2024
Certificate Expiration Date	11/1/2026
Facility Type	Other - MENTAL HEALTH REHABILITAT
Lab Director	FRANCESCO ISOLANI

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