05D2104106 CLIA NUMBER - CHENEY HOME ICF-DDN II

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CLIA Record

Field Name Field Value
CLIA Number 05D2104106
LAB Type Other - ICF-DD/N
Facility Name CHENEY HOME ICF-DDN II
Street 2166 BOCA RATON ST
City HAYWARD
State CA
ZIP 94545
Phone 510 293-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Other - ICF-DD/N
Lab Director ASHWANI K. BINDAL, MD

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