05D2142186 CLIA NUMBER - BRIDGE 2 LIFE- EL NIDO LLC

Laboratory Demographics

  • CLIA Code: 05D2142186
  • Facility Name: BRIDGE 2 LIFE- EL NIDO LLC
  • Facility Address: 1637 EL NIDO AVE
    PERRIS, CA
    ZIP 92571
  • Facility Phone: 951 928-0494
  • Facility Type: Other - CONGREGATE LVNING HLTH FA
  • Facility Type: Waiver
  • Lab Director: ANCEL J. ROGERS, MD
  • NPI Number: 1598042608
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2142186
LAB Type Other - CONGREGATE LVNING HLTH FA
Facility Name BRIDGE 2 LIFE- EL NIDO LLC
Street 1637 EL NIDO AVE
City PERRIS
State CA
ZIP 92571
Phone 951 928-0494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Other - CONGREGATE LVNING HLTH FA
Lab Director ANCEL J. ROGERS, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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