05D0961382 CLIA NUMBER - COVENANT VILLAGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0961382
  • Facility Name: COVENANT VILLAGE CARE CENTER
  • Facility Address: 2125 NORTH OLIVE AVENUE
    TURLOCK, CA
    ZIP 95382
  • Facility Phone: 209 664-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES KNAPP MD
  • NPI Number: 1205906989
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0961382
LAB Type Physician Office
Facility Name COVENANT VILLAGE CARE CENTER
Street 2125 NORTH OLIVE AVENUE
City TURLOCK
State CA
ZIP 95382
Phone 209 664-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director JAMES KNAPP MD

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