05D0667905 CLIA NUMBER - PARK CENTRAL NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0667905
  • Facility Name: PARK CENTRAL NURSING CENTER
  • Facility Address: 2100 PARKSIDE DRIVE
    FREMONT, CA
    ZIP 94536
  • Facility Phone: 510 797-5300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANICE N. O'SULLIVAN
  • NPI Number: 1831183649
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0667905
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK CENTRAL NURSING CENTER
Street 2100 PARKSIDE DRIVE
City FREMONT
State CA
ZIP 94536
Phone 510 797-5300
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 JANICE N. O'SULLIVAN

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