05D0582663 CLIA NUMBER - CASA PACIFICA CONVALESCENT HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0582663
  • Facility Name: CASA PACIFICA CONVALESCENT HOSPITAL
  • Facility Address: 861 S HARBOR BLVD
    ANAHEIM, CA
    ZIP 92805
  • Facility Phone: 714 635-8131
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN STRAND
  • NPI Number: 1902891641
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0582663
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASA PACIFICA CONVALESCENT HOSPITAL
Street 861 S HARBOR BLVD
City ANAHEIM
State CA
ZIP 92805
Phone 714 635-8131
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 JOHN STRAND

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This page was last updated on: 3/20/2025