05D0858756 CLIA NUMBER - BELLA VISTA HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0858756
  • Facility Name: BELLA VISTA HEALTH CENTER
  • Facility Address: 7922 PALM STREET
    LEMON GROVE, CA
    ZIP 91945
  • Facility Phone: 619 644-1000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GUILLERMO CASTILLO
  • NPI Number: 1760709687
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0858756
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BELLA VISTA HEALTH CENTER
Street 7922 PALM STREET
City LEMON GROVE
State CA
ZIP 91945
Phone 619 644-1000
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 GUILLERMO CASTILLO

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