05D2311247 CLIA NUMBER - SHADOWBROOK GARDENS

Laboratory Demographics

  • CLIA Code: 05D2311247
  • Facility Name: SHADOWBROOK GARDENS
  • Facility Address: 5919 DEWEY DRIVE
    FAIR OAKS, CA
    ZIP 95628
  • Facility Phone: 650 583-7768
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHANDAN D. CHEEMA
  • NPI Number: 1689406373
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2311247
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHADOWBROOK GARDENS
Street 5919 DEWEY DRIVE
City FAIR OAKS
State CA
ZIP 95628
Phone 650 583-7768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHANDAN D. CHEEMA

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