03D0532024 CLIA NUMBER - KINDRED NURSING CENTERS WEST LLC DBA HACIENDA REHABILITATION & CARE CENTER

Laboratory Demographics

  • CLIA Code: 03D0532024
  • Facility Name: KINDRED NURSING CENTERS WEST LLC DBA HACIENDA REHABILITATION & CARE CENTER
  • Facility Address: 660 S CORONADO DR
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 459-4900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MONICA R. VANDIVORT, MD
  • NPI Number: 1427322403
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D0532024
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KINDRED NURSING CENTERS WEST LLC DBA HACIENDA REHABILITATION & CARE CENTER
Street 660 S CORONADO DR
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 459-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MONICA R. VANDIVORT, MD

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