05D0610127 CLIA NUMBER - CF MERCED, LLC DBA COUNTRY VILLA MERCED NURSING AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 05D0610127
  • Facility Name: CF MERCED, LLC DBA COUNTRY VILLA MERCED NURSING AND REHAB CENTER
  • Facility Address: 510 W 26TH
    MERCED, CA
    ZIP 95340
  • Facility Phone: 209 723-2911
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. BRODIE, MD
  • NPI Number: 1992857999
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0610127
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CF MERCED, LLC DBA COUNTRY VILLA MERCED NURSING AND REHAB CENTER
Street 510 W 26TH
City MERCED
State CA
ZIP 95340
Phone 209 723-2911
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 MICHAEL L. BRODIE, MD

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