05D0588504 CLIA NUMBER - SUNBRIDGE CARE CENTER FOR KINGSBURG

Laboratory Demographics

  • CLIA Code: 05D0588504
  • Facility Name: SUNBRIDGE CARE CENTER FOR KINGSBURG
  • Facility Address: 1101 STROUD AVENUE
    KINGSBURG, CA
    ZIP 93631
  • Facility Phone: 559 897-5881
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DARRICK WELLS MD
  • NPI Number: 1700833977
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0588504
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNBRIDGE CARE CENTER FOR KINGSBURG
Street 1101 STROUD AVENUE
City KINGSBURG
State CA
ZIP 93631
Phone 559 897-5881
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 DARRICK WELLS MD

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