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05D1007584 CLIA NUMBER - SPECIALIZED DAY CARE SERVICES INC DBA MY FRIENDS

Laboratory Demographics

CLIA Number: 05D1007584

Facility Name: SPECIALIZED DAY CARE SERVICES INC DBA MY FRIENDS

Facility Address:
8632 GREENBACK LANE
ORANGEVALE, CA
ZIP 95662
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Facility Phone Number: 916 987-8632

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1497921480

Taxonomy: 385HR2065X - Respite Care
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

CLIA Record

Field Name Field Value
CLIA Number 05D1007584
LAB Type Other
Facility Name SPECIALIZED DAY CARE SERVICES INC DBA MY FRIENDS
Street 8632 GREENBACK LANE
City ORANGEVALE
State CA
ZIP 95662
Phone 916 987-8632
CertificateType 4
CertificateEffectiveDate 12/23/2022
CertificateExpirationDate 12/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024