05D0910479 CLIA NUMBER - CF MERCED BEHAVIORAL, LLC DBA MERCED BEHAVIORAL CENTER

Laboratory Demographics

  • CLIA Code: 05D0910479
  • Facility Name: CF MERCED BEHAVIORAL, LLC DBA MERCED BEHAVIORAL CENTER
  • Facility Address: 1255 B STREET
    MERCED, CA
    ZIP 95341
  • Facility Phone: 209 723-8814
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: TIMOTHY S. JOHNSTON
  • NPI Number: 1124170139
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0910479
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CF MERCED BEHAVIORAL, LLC DBA MERCED BEHAVIORAL CENTER
Street 1255 B STREET
City MERCED
State CA
ZIP 95341
Phone 209 723-8814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director TIMOTHY S. JOHNSTON

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