05D0973277 CLIA NUMBER - VETERANS HOME OF CA CHULA VISTA

Laboratory Demographics

CLIA Number: 05D0973277

Facility Name: VETERANS HOME OF CA CHULA VISTA

Facility Address:
700 E NAPLES COURT
CHULA VISTA, CA
ZIP 91911
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Facility Phone Number: 619 205-1471

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1730234493

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	05D0973277
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	VETERANS HOME OF CA CHULA VISTA
Street	700 E NAPLES COURT
City	CHULA VISTA
State	CA
ZIP	91911
Phone	619 205-1471
CertificateType	4
CertificateEffectiveDate	5/1/2024
CertificateExpirationDate	4/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024