05D0611844 CLIA NUMBER - NORTHVINE POSTACUTE CARE

Laboratory Demographics

  • CLIA Code: 05D0611844
  • Facility Name: NORTHVINE POSTACUTE CARE
  • Facility Address: 446 ARROWOOD DR
    SANTA ROSA, CA
    ZIP 95407
  • Facility Phone: 707 528-2100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GURPEET DHUGGA
  • NPI Number: 1558883645
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0611844
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHVINE POSTACUTE CARE
Street 446 ARROWOOD DR
City SANTA ROSA
State CA
ZIP 95407
Phone 707 528-2100
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 GURPEET DHUGGA

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