SAN JUAN ICF
NPI 1083832752
Intermediate Care Facility, Intellectual Disabilities in Antioch, CA
About San Juan Icf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN JUAN ICF (NPI 1083832752) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Antioch, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Rosemarie Tambot Veridiano, President Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An intermediate care facility providing services for individuals with intellectual disabilities.
Other Names 1
Other Identifiers 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2320844
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- March 25, 2025
- Certificate Expiration Date
- March 24, 2027
- Laboratory Director
- ROSEMARIE VERIDIANO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Juan Icf to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083832752, enumerated as an "organization" on April 20, 2007.
The provider is located at 3117 SAN JUAN CT ANTIOCH, CA 94509 and the phone number is (925) 778-4855.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
