05D0874375 CLIA NUMBER - CASA DE LAS CAMPANAS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0874375
  • Facility Name: CASA DE LAS CAMPANAS HEALTH CENTER
  • Facility Address: 18685 WEST BERNARDO DRIVE
    SAN DIEGO, CA
    ZIP 92127
  • Facility Phone: 858 592-1855
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EDWIN FELLOW MD
  • NPI Number: 1770566978
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0874375
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASA DE LAS CAMPANAS HEALTH CENTER
Street 18685 WEST BERNARDO DRIVE
City SAN DIEGO
State CA
ZIP 92127
Phone 858 592-1855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EDWIN FELLOW MD

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