05D0644150 CLIA NUMBER - ALDERSONS CONVALESCENT HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0644150
  • Facility Name: ALDERSONS CONVALESCENT HOSPITAL
  • Facility Address: 124 WALNUT ST
    WOODLAND, CA
    ZIP 95695
  • Facility Phone: 916 662-9161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL PIRRUCCELLO MD
  • NPI Number: 1720071954
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0644150
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALDERSONS CONVALESCENT HOSPITAL
Street 124 WALNUT ST
City WOODLAND
State CA
ZIP 95695
Phone 916 662-9161
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 MICHAEL PIRRUCCELLO MD

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