05D0552488 CLIA NUMBER - EL RANCHO VISTA HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0552488
  • Facility Name: EL RANCHO VISTA HEALTH CARE CENTER
  • Facility Address: 8925 E MINES AVE
    PICO RIVERA, CA
    ZIP 90660
  • Facility Phone: 562 942-7019
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NAGASAMVDRA ASHOK MD
  • NPI Number: 1396947925
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D0552488
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EL RANCHO VISTA HEALTH CARE CENTER
Street 8925 E MINES AVE
City PICO RIVERA
State CA
ZIP 90660
Phone 562 942-7019
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 NAGASAMVDRA ASHOK MD

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