05D0874802 CLIA NUMBER - REDWOOD COVE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0874802
  • Facility Name: REDWOOD COVE HEALTHCARE CENTER
  • Facility Address: 1162 SOUTH DORA STREET
    UKIAH, CA
    ZIP 95482
  • Facility Phone: 707 462-1436
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GUY TERAN MD
  • NPI Number: 1871891002
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0874802
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REDWOOD COVE HEALTHCARE CENTER
Street 1162 SOUTH DORA STREET
City UKIAH
State CA
ZIP 95482
Phone 707 462-1436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GUY TERAN MD

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