05D2310073 CLIA NUMBER - TELECARE REDWOOD PLACE MHRC

Laboratory Demographics

CLIA Code: 05D2310073
Facility Name: TELECARE REDWOOD PLACE MHRC
Facility Address: 18949 REDWOOD RD
CASTRO VALLEY, CA
ZIP 94546
Facility Phone: 510 881-1606
Facility Type: Other - MENTAL HEALTH REHABILITAT
Facility Type: Waiver
Lab Director: NASRATULLAH WAHIDI
NPI Number: 1346338928
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2310073
LAB Type	Other - MENTAL HEALTH REHABILITAT
Facility Name	TELECARE REDWOOD PLACE MHRC
Street	18949 REDWOOD RD
City	CASTRO VALLEY
State	CA
ZIP	94546
Phone	510 881-1606
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/26/2024
Certificate Expiration Date	8/25/2026
Facility Type	Other - MENTAL HEALTH REHABILITAT
Lab Director	NASRATULLAH WAHIDI

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