05D2217871 CLIA NUMBER - NORTH BAY RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 05D2217871
  • Facility Name: NORTH BAY RETIREMENT COMMUNITY
  • Facility Address: 2261 TUOLUMNE STREET
    VALLEJO, CA
    ZIP 94589
  • Facility Phone: 707 552-3336
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EPIFANIO DELEON
  • NPI Number: 1295745271
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2217871
LAB Type Assisted Living Facility
Facility Name NORTH BAY RETIREMENT COMMUNITY
Street 2261 TUOLUMNE STREET
City VALLEJO
State CA
ZIP 94589
Phone 707 552-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Assisted Living Facility
Lab Director EPIFANIO DELEON

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