05D0567747 CLIA NUMBER - LA MESA HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0567747
  • Facility Name: LA MESA HEALTHCARE CENTER
  • Facility Address: 3780 MASSACHUSETTS AVENUE
    LA MESA, CA
    ZIP 91941
  • Facility Phone: 619 465-1313
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOANN STEWART
  • NPI Number: 1003852666
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0567747
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LA MESA HEALTHCARE CENTER
Street 3780 MASSACHUSETTS AVENUE
City LA MESA
State CA
ZIP 91941
Phone 619 465-1313
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 JOANN STEWART

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