05D0886355 CLIA NUMBER - VISTA REAL POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0886355
  • Facility Name: VISTA REAL POST ACUTE
  • Facility Address: 1665 E 8TH STREET
    BEAUMONT, CA
    ZIP 92223
  • Facility Phone: 909 845-3125
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NAWAZISH QAZI
  • NPI Number: 1598746182
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0886355
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VISTA REAL POST ACUTE
Street 1665 E 8TH STREET
City BEAUMONT
State CA
ZIP 92223
Phone 909 845-3125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NAWAZISH QAZI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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