05D0866669 CLIA NUMBER - EL CAJON VALLEY SKILLED NURSING FACILITY

Laboratory Demographics

  • CLIA Code: 05D0866669
  • Facility Name: EL CAJON VALLEY SKILLED NURSING FACILITY
  • Facility Address: 510 E WASHINGTON
    EL CAJON, CA
    ZIP 92020
  • Facility Phone: 619 440-1211
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KENT WILLIAMS, MD
  • NPI Number: 1194899385
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D0866669
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EL CAJON VALLEY SKILLED NURSING FACILITY
Street 510 E WASHINGTON
City EL CAJON
State CA
ZIP 92020
Phone 619 440-1211
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 KENT WILLIAMS, MD

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