05D0899145 CLIA NUMBER - NEW VISTA NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 05D0899145
  • Facility Name: NEW VISTA NURSING AND REHABILITATION
  • Facility Address: 8647 FENWICK ST
    SUNLAND, CA
    ZIP 91040
  • Facility Phone: 323 377-7154
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK GOBRIAL
  • NPI Number: 1154669794
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0899145
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEW VISTA NURSING AND REHABILITATION
Street 8647 FENWICK ST
City SUNLAND
State CA
ZIP 91040
Phone 323 377-7154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK GOBRIAL

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