05D0598101 CLIA NUMBER - PLEASANT HILL POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0598101
  • Facility Name: PLEASANT HILL POST ACUTE
  • Facility Address: 1625 OAK PARK BLVD
    PLEASANT HILL, CA
    ZIP 94523
  • Facility Phone: 925 935-5222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SRI VARDHAN RED KOOTURU
  • NPI Number: 1558717579
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0598101
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLEASANT HILL POST ACUTE
Street 1625 OAK PARK BLVD
City PLEASANT HILL
State CA
ZIP 94523
Phone 925 935-5222
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 SRI VARDHAN RED KOOTURU

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