05D0716604 CLIA NUMBER - UNIVERSITY POST-ACUTE REHAB

Laboratory Demographics

  • CLIA Code: 05D0716604
  • Facility Name: UNIVERSITY POST-ACUTE REHAB
  • Facility Address: 2120 STOCKTON BLVD
    SACRAMENTO, CA
    ZIP 95817
  • Facility Phone: 916 452-6631
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GLEN L. XIONG
  • NPI Number: 1396720892
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0716604
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UNIVERSITY POST-ACUTE REHAB
Street 2120 STOCKTON BLVD
City SACRAMENTO
State CA
ZIP 95817
Phone 916 452-6631
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 GLEN L. XIONG

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