05D0723174 CLIA NUMBER - STONEHAVEN SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 05D0723174
  • Facility Name: STONEHAVEN SENIOR LIVING
  • Facility Address: 1717 S WINERY AVE
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 251-8417
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN GROSSMAN
  • NPI Number: 1427057405
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0723174
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STONEHAVEN SENIOR LIVING
Street 1717 S WINERY AVE
City FRESNO
State CA
ZIP 93727
Phone 559 251-8417
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 STEPHEN GROSSMAN

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