05D0928628 CLIA NUMBER - TICE VALLEY POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0928628
  • Facility Name: TICE VALLEY POST ACUTE
  • Facility Address: 1975 TICE VALLEY BOULEVARD
    WALNUT CREEK, CA
    ZIP 94595
  • Facility Phone: 925 906-0200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ASHISH PATEL
  • NPI Number: 1609817352
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0928628
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TICE VALLEY POST ACUTE
Street 1975 TICE VALLEY BOULEVARD
City WALNUT CREEK
State CA
ZIP 94595
Phone 925 906-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ASHISH PATEL

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