05D2213912 CLIA NUMBER - MUIRWOODS MEMORY CARE

Laboratory Demographics

  • CLIA Code: 05D2213912
  • Facility Name: MUIRWOODS MEMORY CARE
  • Facility Address: 7450 NORTH MCDOWELL BLVD
    PETALUMA, CA
    ZIP 94954
  • Facility Phone: 707 775-4330
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EPIFANIO DE LEON
  • NPI Number: 1689302937
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2213912
LAB Type Assisted Living Facility
Facility Name MUIRWOODS MEMORY CARE
Street 7450 NORTH MCDOWELL BLVD
City PETALUMA
State CA
ZIP 94954
Phone 707 775-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Assisted Living Facility
Lab Director EPIFANIO DE LEON

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