05D0611944 CLIA NUMBER - CLOVERDALE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0611944
  • Facility Name: CLOVERDALE HEALTHCARE CENTER
  • Facility Address: 300 CHERRY CREEK RD
    CLOVERDALE, CA
    ZIP 95425
  • Facility Phone: 707 894-5201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. NOEL SERRANO
  • NPI Number: 1245225176
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0611944
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLOVERDALE HEALTHCARE CENTER
Street 300 CHERRY CREEK RD
City CLOVERDALE
State CA
ZIP 95425
Phone 707 894-5201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. NOEL SERRANO

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