05D0890942 CLIA NUMBER - BLYTHE POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0890942
  • Facility Name: BLYTHE POST ACUTE
  • Facility Address: 285 W CHANSLOR WAY
    BLYTHE, CA
    ZIP 92225
  • Facility Phone: 619 922-8176
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAGLINAWAN ADOLFO
  • NPI Number: 1194120030
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0890942
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLYTHE POST ACUTE
Street 285 W CHANSLOR WAY
City BLYTHE
State CA
ZIP 92225
Phone 619 922-8176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAGLINAWAN ADOLFO

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