FC
Medical Clinic
FRUITVALE COMMUNITY TESTING SITE 3
1102 DERBY AVE, OAKLAND, CA 94601
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 551975
- LTC
- NON-LTC
- NPI
- Not reported
- ZIP
- 94601
- id
- 10601
- CITY
- OAKLAND
- FLAG
- USE PARENT MATCH
- ZIP9
- 3463
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630023319
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 1102 DERBY AVE
- AO NAME
- Not reported
- FACNAME
- FRUITVALE COMMUNITY TESTING SITE 3
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 37.7763418
- LOCATION
- (-122.23122,37.7763418)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.23122
- CCLHO CODE
- 1
- CCLHO NAME
- ALAMEDA
- START DATE
- 24MAY2021
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA140001312
- COUNTY CODE
- 0
- COUNTY NAME
- ALAMEDA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 140001312
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2004-10-08T00:00:00
- BUSINESS NAME
- LA CLINICA DE LA RAZA, INC.
- DISTRICT NAME
- EAST BAY
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 140000675
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 2
- FIPS COUNTY CODE
- 6001
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2004-07-07T00:00:00
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2004-02-06T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-02-06T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-02-05T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of FRUITVALE COMMUNITY TESTING SITE 3
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No published community reviews yet.
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