CONTRA COSTA REHAB
NPI 1275227084
Clinic/Center - Rehabilitation, Substance Use Disorder in Antioch, CA
About Contra Costa Rehab NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONTRA COSTA REHAB (NPI 1275227084) is a healthcare organization registered as a rehabilitation, substance use disorder in Antioch, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Shaina Donner, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 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
- 05D2316044
- Facility Type
- Other - IOP
- Certificate Effective Date
- December 26, 2024
- Certificate Expiration Date
- December 25, 2026
- Laboratory Director
- JISEUNG YOON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Contra Costa Rehab 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275227084, enumerated as an "organization" on June 05, 2023.
The provider is located at 3700 SUNSET LN STE 2 ANTIOCH, CA 94509 and the phone number is (310) 343-8684.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
