05D2216029 CLIA NUMBER - WESTMONT OF LA MESA

Laboratory Demographics

  • CLIA Code: 05D2216029
  • Facility Name: WESTMONT OF LA MESA
  • Facility Address: 9000 MURRAY DRIVE
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 369-9700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EPIFANIO DELEON
  • NPI Number: 1558994012
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2216029
LAB Type Assisted Living Facility
Facility Name WESTMONT OF LA MESA
Street 9000 MURRAY DRIVE
City LA MESA
State CA
ZIP 91942
Phone 619 369-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Assisted Living Facility
Lab Director EPIFANIO DELEON

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