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05D0863932 CLIA NUMBER - LAKEPORT POST ACUTE

Laboratory Demographics

CLIA Number: 05D0863932

Facility Name: LAKEPORT POST ACUTE

Facility Address:
1291 CRAIG AVE
LAKEPORT, CA
ZIP 95453
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Facility Phone Number: 707 263-6382

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1003361239

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 05D0863932
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKEPORT POST ACUTE
Street 1291 CRAIG AVE
City LAKEPORT
State CA
ZIP 95453
Phone 707 263-6382
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024