05D0690069 CLIA NUMBER - VALLEY CONVALESCENT CENTER

Laboratory Demographics

  • CLIA Code: 05D0690069
  • Facility Name: VALLEY CONVALESCENT CENTER
  • Facility Address: 1700 SOUTH IMPERIAL AVENUE
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 352-8471
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JORGE ROBLES MD
  • NPI Number: 1467447102
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0690069
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VALLEY CONVALESCENT CENTER
Street 1700 SOUTH IMPERIAL AVENUE
City EL CENTRO
State CA
ZIP 92243
Phone 760 352-8471
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 JORGE ROBLES MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025