05D0955579 CLIA NUMBER - BAYSHIRE CARLSBAD SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 05D0955579
  • Facility Name: BAYSHIRE CARLSBAD SENIOR LIVING
  • Facility Address: 3140 EL CAMINO REAL
    CARLSBAD, CA
    ZIP 92008
  • Facility Phone: 760 720-9898
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD E. MALLO
  • NPI Number: 1003221300
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0955579
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAYSHIRE CARLSBAD SENIOR LIVING
Street 3140 EL CAMINO REAL
City CARLSBAD
State CA
ZIP 92008
Phone 760 720-9898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICHARD E. MALLO

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