05D2271747 CLIA NUMBER - PACIFIC CARE II INC.

Laboratory Demographics

  • CLIA Code: 05D2271747
  • Facility Name: PACIFIC CARE II INC.
  • Facility Address: 1024 JAYHAWK WAY
    MODESTO, CA
    ZIP 95358
  • Facility Phone: 646 416-1430
  • Facility Type: Other - CONGREGATE LIVING HEALTH
  • Facility Type: Waiver
  • Lab Director: NAVNEET GILL
  • NPI Number: 1629724067
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2271747
LAB Type Other - CONGREGATE LIVING HEALTH
Facility Name PACIFIC CARE II INC.
Street 1024 JAYHAWK WAY
City MODESTO
State CA
ZIP 95358
Phone 646 416-1430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Other - CONGREGATE LIVING HEALTH
Lab Director NAVNEET GILL

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