05D0890884 CLIA NUMBER - BUENA VISTA CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0890884
  • Facility Name: BUENA VISTA CARE CENTER
  • Facility Address: 160 S PATTERSON AVE
    GOLETA, CA
    ZIP 93111
  • Facility Phone: 805 964-4871
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMER OTHMAN
  • NPI Number: 1205977311
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0890884
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BUENA VISTA CARE CENTER
Street 160 S PATTERSON AVE
City GOLETA
State CA
ZIP 93111
Phone 805 964-4871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAMER OTHMAN

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