05D0589726 CLIA NUMBER - SUNNYSIDE CONVALESCENT

Laboratory Demographics

  • CLIA Code: 05D0589726
  • Facility Name: SUNNYSIDE CONVALESCENT
  • Facility Address: 2939 S PEACH AVE
    FRESNO, CA
    ZIP 93725
  • Facility Phone: 209 233-6248
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN GROSSMAN
  • NPI Number: 1023773967
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0589726
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNNYSIDE CONVALESCENT
Street 2939 S PEACH AVE
City FRESNO
State CA
ZIP 93725
Phone 209 233-6248
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 STEPHEN GROSSMAN

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This page was last updated on: 3/20/2025