05D0708860 CLIA NUMBER - MISSION SKILLED NURSING FACILITY & SUBACUTE CENTER

Laboratory Demographics

  • CLIA Code: 05D0708860
  • Facility Name: MISSION SKILLED NURSING FACILITY & SUBACUTE CENTER
  • Facility Address: 410 N WINCHESTER BLVD
    SANTA CLARA, CA
    ZIP 95050
  • Facility Phone: 408 248-3736
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAEWOOK KANG
  • NPI Number: 1679615611
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0708860
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MISSION SKILLED NURSING FACILITY & SUBACUTE CENTER
Street 410 N WINCHESTER BLVD
City SANTA CLARA
State CA
ZIP 95050
Phone 408 248-3736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAEWOOK KANG

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