05D0585283 CLIA NUMBER - HACIENDA POST ACUTE INC

Laboratory Demographics

  • CLIA Code: 05D0585283
  • Facility Name: HACIENDA POST ACUTE INC
  • Facility Address: 361 E GRANGEVILLE BLVD
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 582-9221
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUDESH NAGAVALLI
  • NPI Number: 1679572929
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0585283
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HACIENDA POST ACUTE INC
Street 361 E GRANGEVILLE BLVD
City HANFORD
State CA
ZIP 93230
Phone 559 582-9221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUDESH NAGAVALLI

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This page was last updated on: 6/4/2025