05D2225383 CLIA NUMBER - SUNRISE OF SUNNYVALE

Laboratory Demographics

CLIA Number: 05D2225383

Facility Name: SUNRISE OF SUNNYVALE

Facility Address:
633 S KNICKERBOCKER DRIVE
SUNNYVALE, CA
ZIP 94087
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Facility Phone Number: 408 749-8600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1053753285

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	05D2225383
LAB Type	Assisted Living Facility
Facility Name	SUNRISE OF SUNNYVALE
Street	633 S KNICKERBOCKER DRIVE
City	SUNNYVALE
State	CA
ZIP	94087
Phone	408 749-8600
CertificateType	4
CertificateEffectiveDate	5/20/2023
CertificateExpirationDate	5/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024