05D0874492 CLIA NUMBER - PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0874492
  • Facility Name: PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CENTER
  • Facility Address: 701 WEST HERBERT
    REEDLEY, CA
    ZIP 93654
  • Facility Phone: 559 638-6933
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARSHALL J. SORENSEN MD
  • NPI Number: 1225142755
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0874492
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CENTER
Street 701 WEST HERBERT
City REEDLEY
State CA
ZIP 93654
Phone 559 638-6933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARSHALL J. SORENSEN MD

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