05D2311162 CLIA NUMBER - PLAYA CONCHAL LLC

Laboratory Demographics

  • CLIA Code: 05D2311162
  • Facility Name: PLAYA CONCHAL LLC
  • Facility Address: 361 E GRANGEVILLE BLVD
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 582-9221
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUDESH NAGAVALLI
  • NPI Number: 1659029965
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2311162
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLAYA CONCHAL LLC
Street 361 E GRANGEVILLE BLVD
City HANFORD
State CA
ZIP 93230
Phone 559 582-9221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUDESH NAGAVALLI

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