05D0925405 CLIA NUMBER - WHITE SANDS OF LA JOLLA

Laboratory Demographics

  • CLIA Code: 05D0925405
  • Facility Name: WHITE SANDS OF LA JOLLA
  • Facility Address: 7450 OLIVETAS AVE
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 450-5105
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAIB RAWI
  • NPI Number: 1851568596
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0925405
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITE SANDS OF LA JOLLA
Street 7450 OLIVETAS AVE
City LA JOLLA
State CA
ZIP 92037
Phone 858 450-5105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TAIB RAWI

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