05D0939123 CLIA NUMBER - CARMEL VALLEY MANOR

Laboratory Demographics

  • CLIA Code: 05D0939123
  • Facility Name: CARMEL VALLEY MANOR
  • Facility Address: 8545 CARMEL VALLEY ROAD
    CARMEL, CA
    ZIP 93923
  • Facility Phone: 408 626-4701
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN D. CHAVIS
  • NPI Number: 1366777898
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 05D0939123
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARMEL VALLEY MANOR
Street 8545 CARMEL VALLEY ROAD
City CARMEL
State CA
ZIP 93923
Phone 408 626-4701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUSAN D. CHAVIS

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