05D0717077 CLIA NUMBER - SAN JACINTO VALLEY POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0717077
  • Facility Name: SAN JACINTO VALLEY POST ACUTE
  • Facility Address: 275 NORTH SAN JACINTO ST
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 658-9441
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SANYASI R. GANTA
  • NPI Number: 1225345614
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0717077
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAN JACINTO VALLEY POST ACUTE
Street 275 NORTH SAN JACINTO ST
City HEMET
State CA
ZIP 92543
Phone 951 658-9441
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 SANYASI R. GANTA

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