05D0856855 CLIA NUMBER - BRIGHTON PLACE- LA MESA LLC

Laboratory Demographics

  • CLIA Code: 05D0856855
  • Facility Name: BRIGHTON PLACE- LA MESA LLC
  • Facility Address: 7760 PARKWAY DR
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 469-0124
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAN NGUYEN MD
  • NPI Number: 1215924295
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0856855
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIGHTON PLACE- LA MESA LLC
Street 7760 PARKWAY DR
City LA MESA
State CA
ZIP 91942
Phone 619 469-0124
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 TAN NGUYEN MD

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