05D1101084 CLIA NUMBER - POWAY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D1101084
  • Facility Name: POWAY HEALTHCARE CENTER
  • Facility Address: 15632 POMERADO RD
    POWAY, CA
    ZIP 92064
  • Facility Phone: 858 485-5153
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MOHINDERPAL THAPER
  • NPI Number: 1407035512
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1101084
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name POWAY HEALTHCARE CENTER
Street 15632 POMERADO RD
City POWAY
State CA
ZIP 92064
Phone 858 485-5153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MOHINDERPAL THAPER

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