05D0877502 CLIA NUMBER - BEACON HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0877502
  • Facility Name: BEACON HEALTHCARE CENTER
  • Facility Address: 919 N SUNSET AVE
    WEST COVINA, CA
    ZIP 91790
  • Facility Phone: 626 962-4489
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANIL GUPTA
  • NPI Number: 1245897446
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0877502
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEACON HEALTHCARE CENTER
Street 919 N SUNSET AVE
City WEST COVINA
State CA
ZIP 91790
Phone 626 962-4489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANIL GUPTA

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