05D2166013 CLIA NUMBER - WESTERN SLOPE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2166013
  • Facility Name: WESTERN SLOPE HEALTH CENTER
  • Facility Address: 3280 WASHINGTON ST
    PLACERVILLE, CA
    ZIP 95667
  • Facility Phone: 530 622-6842
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THANH NGUYEN
  • NPI Number: 1043518277
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2166013
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTERN SLOPE HEALTH CENTER
Street 3280 WASHINGTON ST
City PLACERVILLE
State CA
ZIP 95667
Phone 530 622-6842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THANH NGUYEN

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