05D1089788 CLIA NUMBER - CAREMERIDIAN-FAIRFAX

Laboratory Demographics

  • CLIA Code: 05D1089788
  • Facility Name: CAREMERIDIAN-FAIRFAX
  • Facility Address: 2390 SIR FRANCIS DRAKE BLVD
    FAIRFAX, CA
    ZIP 94930
  • Facility Phone: 415 256-8007
  • Facility Type: Other - CONGREGATE LIVING HLTH FA
  • Facility Type: Waiver
  • Lab Director: ANTHONY E. ALIEN
  • NPI Number: 1659418473
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1089788
LAB Type Other - CONGREGATE LIVING HLTH FA
Facility Name CAREMERIDIAN-FAIRFAX
Street 2390 SIR FRANCIS DRAKE BLVD
City FAIRFAX
State CA
ZIP 94930
Phone 415 256-8007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Other - CONGREGATE LIVING HLTH FA
Lab Director ANTHONY E. ALIEN

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