05D0716912 CLIA NUMBER - SUMMERFIELD HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0716912
  • Facility Name: SUMMERFIELD HEALTHCARE CENTER
  • Facility Address: 1280 SUMMERFIELD RD
    SANTA ROSA, CA
    ZIP 95405
  • Facility Phone: 707 539-1515
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN HURWITZ
  • NPI Number: 1619976552
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0716912
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMERFIELD HEALTHCARE CENTER
Street 1280 SUMMERFIELD RD
City SANTA ROSA
State CA
ZIP 95405
Phone 707 539-1515
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 JOHN HURWITZ

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