05D0899353 CLIA NUMBER - RIVER VALLEY CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0899353
  • Facility Name: RIVER VALLEY CARE CENTER
  • Facility Address: 9000 LARKIN ROAD
    LIVE OAK, CA
    ZIP 95953
  • Facility Phone: 530 695-8020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHAILAJA VEMULAPALLI
  • NPI Number: 1720386956
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0899353
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER VALLEY CARE CENTER
Street 9000 LARKIN ROAD
City LIVE OAK
State CA
ZIP 95953
Phone 530 695-8020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHAILAJA VEMULAPALLI

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