05D0644002 CLIA NUMBER - LODI NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 05D0644002
  • Facility Name: LODI NURSING & REHABILITATION
  • Facility Address: 1334 S HAM LN
    LODI, CA
    ZIP 95242
  • Facility Phone: 949 347-7100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NEEL SHAH
  • NPI Number: 1861868721
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0644002
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LODI NURSING & REHABILITATION
Street 1334 S HAM LN
City LODI
State CA
ZIP 95242
Phone 949 347-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NEEL SHAH

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