05D0612311 CLIA NUMBER - APPLE VALLEY POST - ACUTE REHAB

Laboratory Demographics

  • CLIA Code: 05D0612311
  • Facility Name: APPLE VALLEY POST - ACUTE REHAB
  • Facility Address: 1035 GRAVENSTEIN HWAY S
    SEBASTOPOL, CA
    ZIP 95472
  • Facility Phone: 707 823-7675
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NOEL SERRANO
  • NPI Number: 1114902616
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0612311
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name APPLE VALLEY POST - ACUTE REHAB
Street 1035 GRAVENSTEIN HWAY S
City SEBASTOPOL
State CA
ZIP 95472
Phone 707 823-7675
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 NOEL SERRANO

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