05D2011556 CLIA NUMBER - CHENEY HOME ICF-DD/N

Laboratory Demographics

  • CLIA Code: 05D2011556
  • Facility Name: CHENEY HOME ICF-DD/N
  • Facility Address: 1644 CHENEY LN
    HAYWARD, CA
    ZIP 94545
  • Facility Phone: 510 670-0239
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: ASHWANI K. BINDAL
  • NPI Number: 1003283722
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2011556
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CHENEY HOME ICF-DD/N
Street 1644 CHENEY LN
City HAYWARD
State CA
ZIP 94545
Phone 510 670-0239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ASHWANI K. BINDAL

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