05D0862058 CLIA NUMBER - GARDEN CITY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0862058
  • Facility Name: GARDEN CITY HEALTHCARE CENTER
  • Facility Address: 1310 WEST GRANGER AVENUE
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 524-4817
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDER A. CHAN MD
  • NPI Number: 1801832464
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0862058
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GARDEN CITY HEALTHCARE CENTER
Street 1310 WEST GRANGER AVENUE
City MODESTO
State CA
ZIP 95350
Phone 209 524-4817
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 ALEXANDER A. CHAN MD

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