05D0872419 CLIA NUMBER - HILLCREST MANOR SANITARIUM

Laboratory Demographics

  • CLIA Code: 05D0872419
  • Facility Name: HILLCREST MANOR SANITARIUM
  • Facility Address: 1889 NATIONAL CITY BOULEVARD
    NATIONAL CITY, CA
    ZIP 91950
  • Facility Phone: 619 477-1176
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAKSHMI PRATHIPATI MD
  • NPI Number: 1255480646
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0872419
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLCREST MANOR SANITARIUM
Street 1889 NATIONAL CITY BOULEVARD
City NATIONAL CITY
State CA
ZIP 91950
Phone 619 477-1176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LAKSHMI PRATHIPATI MD

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