05D0867439 CLIA NUMBER - CREEKSIDE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0867439
  • Facility Name: CREEKSIDE HEALTHCARE CENTER
  • Facility Address: 1900 CHURCH LANE
    SAN PABLO, CA
    ZIP 94806
  • Facility Phone: 510 235-5514
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES BARNES
  • NPI Number: 1306269386
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0867439
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CREEKSIDE HEALTHCARE CENTER
Street 1900 CHURCH LANE
City SAN PABLO
State CA
ZIP 94806
Phone 510 235-5514
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 CHARLES BARNES

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