05D0898980 CLIA NUMBER - COTTONWOOD CANYON HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0898980
  • Facility Name: COTTONWOOD CANYON HEALTHCARE CENTER
  • Facility Address: 1391 E MADISON AVE
    EL CAJON, CA
    ZIP 92021
  • Facility Phone: 619 444-1107
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MANSOUR MAFIDI
  • NPI Number: 1013953199
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0898980
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COTTONWOOD CANYON HEALTHCARE CENTER
Street 1391 E MADISON AVE
City EL CAJON
State CA
ZIP 92021
Phone 619 444-1107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MANSOUR MAFIDI

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