05D0919690 CLIA NUMBER - COUNTY OF SAN DIEGO/EDGEMOOR HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0919690
  • Facility Name: COUNTY OF SAN DIEGO/EDGEMOOR HOSPITAL
  • Facility Address: 655 PARK CENTER DRIVE
    SANTEE, CA
    ZIP 92071
  • Facility Phone: 619 596-5500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA FERRINI MD
  • NPI Number: 1316952914
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0919690
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COUNTY OF SAN DIEGO/EDGEMOOR HOSPITAL
Street 655 PARK CENTER DRIVE
City SANTEE
State CA
ZIP 92071
Phone 619 596-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2023
Certificate Expiration Date 7/26/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director REBECCA FERRINI MD

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This page was last updated on: 6/4/2025