05D0672542 CLIA NUMBER - GREENFIELD CARE CENTER OF FAIRFIELD DBA SIERRA SOLANO CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0672542
  • Facility Name: GREENFIELD CARE CENTER OF FAIRFIELD DBA SIERRA SOLANO CARE CENTER
  • Facility Address: 1260 TRAVIS BLVD
    FAIRFIELD, CA
    ZIP 94533
  • Facility Phone: 707 425-0669
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RODOLFO A. DAQUIOAG,MD
  • NPI Number: 1396732590
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0672542
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREENFIELD CARE CENTER OF FAIRFIELD DBA SIERRA SOLANO CARE CENTER
Street 1260 TRAVIS BLVD
City FAIRFIELD
State CA
ZIP 94533
Phone 707 425-0669
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 RODOLFO A. DAQUIOAG,MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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