05D0700361 CLIA NUMBER - CAPISTRANO BEACH CARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D0700361
  • Facility Name: CAPISTRANO BEACH CARE CENTER LLC
  • Facility Address: 35410 DEL REY
    CAPISTRANO BEACH, CA
    ZIP 92624
  • Facility Phone: 949 496-5785
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHALAT RAJARAM MD CMD
  • NPI Number: 1114059219
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0700361
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CAPISTRANO BEACH CARE CENTER LLC
Street 35410 DEL REY
City CAPISTRANO BEACH
State CA
ZIP 92624
Phone 949 496-5785
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 CHALAT RAJARAM MD CMD

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