05D2037430 CLIA NUMBER - DESERT CANYON POST ACUTE, LLC

Laboratory Demographics

  • CLIA Code: 05D2037430
  • Facility Name: DESERT CANYON POST ACUTE, LLC
  • Facility Address: 1642 W AVENUE J
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 942-8463
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHAHID SIDDIQUI
  • NPI Number: 1912403718
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2037430
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DESERT CANYON POST ACUTE, LLC
Street 1642 W AVENUE J
City LANCASTER
State CA
ZIP 93534
Phone 661 942-8463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHAHID SIDDIQUI

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