05D0860452 CLIA NUMBER - WEST ANAHEIM EXTENDED CARE

Laboratory Demographics

  • CLIA Code: 05D0860452
  • Facility Name: WEST ANAHEIM EXTENDED CARE
  • Facility Address: 645 S BEACH BLVD
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 821-1993
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: YOUSEF W. IREIFEJ MD
  • NPI Number: 1235235300
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0860452
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEST ANAHEIM EXTENDED CARE
Street 645 S BEACH BLVD
City ANAHEIM
State CA
ZIP 92804
Phone 714 821-1993
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 YOUSEF W. IREIFEJ MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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