05D1000613 CLIA NUMBER - VI AT LA JOLLA VILLAGE ,

Laboratory Demographics

CLIA Number: 05D1000613

Facility Name: VI AT LA JOLLA VILLAGE ,

Facility Address:
8515 COSTA VERDE BLVD
SAN DIEGO, CA
ZIP 92122
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Facility Phone Number: 858 646-3400

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1972574507

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	05D1000613
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	VI AT LA JOLLA VILLAGE ,
Street	8515 COSTA VERDE BLVD
City	SAN DIEGO
State	CA
ZIP	92122
Phone	858 646-3400
CertificateType	4
CertificateEffectiveDate	6/18/2022
CertificateExpirationDate	6/17/2024
FacilityType	Waiver

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