05D2238845 CLIA NUMBER - CRESTVIEW HC LLC DBA RIDGEVIEW HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2238845
  • Facility Name: CRESTVIEW HC LLC DBA RIDGEVIEW HEALTH CENTER
  • Facility Address: 9825 GLEN CENTER DR
    SAN DIEGO, CA
    ZIP 92131
  • Facility Phone: 858 293-3900
  • Facility Type: Other - RCFE
  • Facility Type: Waiver
  • Lab Director: TAIB RAWI
  • NPI Number: 1669179925
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2238845
LAB Type Other - RCFE
Facility Name CRESTVIEW HC LLC DBA RIDGEVIEW HEALTH CENTER
Street 9825 GLEN CENTER DR
City SAN DIEGO
State CA
ZIP 92131
Phone 858 293-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Other - RCFE
Lab Director TAIB RAWI

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