05D0718132 CLIA NUMBER - REO VISTA HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0718132
  • Facility Name: REO VISTA HEALTHCARE CENTER
  • Facility Address: 6061 BANBURY STREET
    SAN DIEGO, CA
    ZIP 92139
  • Facility Phone: 619 475-2211
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NELDA ORDONEZ
  • NPI Number: 1255499174
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0718132
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REO VISTA HEALTHCARE CENTER
Street 6061 BANBURY STREET
City SAN DIEGO
State CA
ZIP 92139
Phone 619 475-2211
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 NELDA ORDONEZ

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