05D0938569 CLIA NUMBER - NEW VISTA POST-ACUTE CARE CENTER W LA

Laboratory Demographics

  • CLIA Code: 05D0938569
  • Facility Name: NEW VISTA POST-ACUTE CARE CENTER W LA
  • Facility Address: 1516 SAWTELLE BOULEVARD
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 477-5501
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RUPERT OAVNO
  • NPI Number: 1881932424
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0938569
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEW VISTA POST-ACUTE CARE CENTER W LA
Street 1516 SAWTELLE BOULEVARD
City LOS ANGELES
State CA
ZIP 90025
Phone 310 477-5501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RUPERT OAVNO

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