05D0577162 CLIA NUMBER - PACIFIC HAVEN HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 05D0577162

Facility Name: PACIFIC HAVEN HEALTHCARE CENTER

Facility Address:
12072 TRASK AVENUE
GARDEN GROVE, CA
ZIP 92843
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Facility Phone Number: (714) 534-1942

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0577162
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	PACIFIC HAVEN HEALTHCARE CENTER
Street	12072 TRASK AVENUE
City	GARDEN GROVE
State	CA
ZIP	92843
Phone	(714) 534-1942

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This page was last updated on: 5/11/2023