05D1077754 CLIA NUMBER - NEW WAY ICF/DD-N #3

Laboratory Demographics

Get Directions

Field Name	Field Value
CLIA Number	05D1077754
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	NEW WAY ICF/DD-N #3
Street	92 LOZOYA WAY
City	OAKLEY
State	CA
ZIP	94561
Phone	925 625-4503
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/18/2023
Certificate Expiration Date	12/17/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	ARKADY MASSEN

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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