05D0722991 CLIA NUMBER - NORTHGATE POSTACUTE CARE

Laboratory Demographics

  • CLIA Code: 05D0722991
  • Facility Name: NORTHGATE POSTACUTE CARE
  • Facility Address: 40 PROFESSIONAL CENTER PKWY
    SAN RAFAEL, CA
    ZIP 94903
  • Facility Phone: 415 479-1230
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GURPEET DHUGGA
  • NPI Number: 1205828373
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0722991
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHGATE POSTACUTE CARE
Street 40 PROFESSIONAL CENTER PKWY
City SAN RAFAEL
State CA
ZIP 94903
Phone 415 479-1230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GURPEET DHUGGA

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