05D2211714 CLIA NUMBER - ALTCARE WILLOW CREEK INC DBA WILLOW CREEK ALZHEIMER'S

Laboratory Demographics

  • CLIA Code: 05D2211714
  • Facility Name: ALTCARE WILLOW CREEK INC DBA WILLOW CREEK ALZHEIMER'S
  • Facility Address: 22424 CHARLENE WAY
    CASTRO VALLEY, CA
    ZIP 94546
  • Facility Phone: 510 206-2122
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOAN KING-ANGELI
  • NPI Number: 1851143002
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 05D2211714
LAB Type Assisted Living Facility
Facility Name ALTCARE WILLOW CREEK INC DBA WILLOW CREEK ALZHEIMER'S
Street 22424 CHARLENE WAY
City CASTRO VALLEY
State CA
ZIP 94546
Phone 510 206-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Assisted Living Facility
Lab Director JOAN KING-ANGELI

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