05D0575842 CLIA NUMBER - VISTA PACIFICA CENTER

Laboratory Demographics

  • CLIA Code: 05D0575842
  • Facility Name: VISTA PACIFICA CENTER
  • Facility Address: 3674 PACIFIC AVE
    RIVERSIDE, CA
    ZIP 92509
  • Facility Phone: 909 682-4833
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM THOMPSON
  • NPI Number: 1942206305
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0575842
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VISTA PACIFICA CENTER
Street 3674 PACIFIC AVE
City RIVERSIDE
State CA
ZIP 92509
Phone 909 682-4833
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 WILLIAM THOMPSON

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