05D0715119 CLIA NUMBER - CRESCENT CITY SKILLED NURSING

Laboratory Demographics

  • CLIA Code: 05D0715119
  • Facility Name: CRESCENT CITY SKILLED NURSING
  • Facility Address: 1280 MARSHALL STREET
    CRESCENT CITY, CA
    ZIP 95531
  • Facility Phone: 707 464-6151
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PANKAJ K. KARAN, MD
  • NPI Number: 1962951715
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0715119
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESCENT CITY SKILLED NURSING
Street 1280 MARSHALL STREET
City CRESCENT CITY
State CA
ZIP 95531
Phone 707 464-6151
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 PANKAJ K. KARAN, MD

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