05D0880591 CLIA NUMBER - B SPRING VALLEY, LLC DBA BRIGHTON PLACE - SPRING VALLEY

Laboratory Demographics

  • CLIA Code: 05D0880591
  • Facility Name: B SPRING VALLEY, LLC DBA BRIGHTON PLACE - SPRING VALLEY
  • Facility Address: 9009 CAMPO ROAD
    SPRING VALLEY, CA
    ZIP 91977
  • Facility Phone: 619 460-2711
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AHMAD KABAKIBI
  • NPI Number: 1780682021
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0880591
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name B SPRING VALLEY, LLC DBA BRIGHTON PLACE - SPRING VALLEY
Street 9009 CAMPO ROAD
City SPRING VALLEY
State CA
ZIP 91977
Phone 619 460-2711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AHMAD KABAKIBI

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