05D0562561 CLIA NUMBER - HARVARD CREEK POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0562561
  • Facility Name: HARVARD CREEK POST ACUTE
  • Facility Address: 519 WEST BADILLO ST
    COVINA, CA
    ZIP 91722
  • Facility Phone: 818 915-5621
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANIL GUPTA, MD
  • NPI Number: 1700874393
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0562561
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARVARD CREEK POST ACUTE
Street 519 WEST BADILLO ST
City COVINA
State CA
ZIP 91722
Phone 818 915-5621
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 ANIL GUPTA, MD

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