05D0618269 CLIA NUMBER - OAK RIVER REHAB

Laboratory Demographics

  • CLIA Code: 05D0618269
  • Facility Name: OAK RIVER REHAB
  • Facility Address: 3300 FRANKLIN ST
    ANDERSON, CA
    ZIP 96007
  • Facility Phone: 530 365-0025
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DINESH MANTRI
  • NPI Number: 1316005226
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0618269
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK RIVER REHAB
Street 3300 FRANKLIN ST
City ANDERSON
State CA
ZIP 96007
Phone 530 365-0025
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 DINESH MANTRI

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