05D0612588 CLIA NUMBER - UKIAH POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0612588
  • Facility Name: UKIAH POST ACUTE
  • Facility Address: 1349 S DORA ST
    UKIAH, CA
    ZIP 95482
  • Facility Phone: 707 462-8864
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERAN GUY
  • NPI Number: 1649222506
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0612588
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UKIAH POST ACUTE
Street 1349 S DORA ST
City UKIAH
State CA
ZIP 95482
Phone 707 462-8864
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 TERAN GUY

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