05D0644227 CLIA NUMBER - SHADOWBROOK CONVALESCENT HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0644227
  • Facility Name: SHADOWBROOK CONVALESCENT HOSPITAL
  • Facility Address: 1 GILMORE LANE
    OROVILLE, CA
    ZIP 95966
  • Facility Phone: 530 534-1353
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NEAL A. SPIVA
  • NPI Number: 1750749172
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0644227
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHADOWBROOK CONVALESCENT HOSPITAL
Street 1 GILMORE LANE
City OROVILLE
State CA
ZIP 95966
Phone 530 534-1353
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 NEAL A. SPIVA

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