05D0724450 CLIA NUMBER - PARK VIEW POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0724450
  • Facility Name: PARK VIEW POST ACUTE
  • Facility Address: 3751 MONTGOMERY DR
    SANTA ROSA, CA
    ZIP 95405
  • Facility Phone: 707 525-1250
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES H. DEVORE MD
  • NPI Number: 1104825520
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0724450
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK VIEW POST ACUTE
Street 3751 MONTGOMERY DR
City SANTA ROSA
State CA
ZIP 95405
Phone 707 525-1250
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 JAMES H. DEVORE MD

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