05D2280460 CLIA NUMBER - LIGHTFULLY BEHAVIORAL HEALTH COMET

Laboratory Demographics

CLIA Code: 05D2280460
Facility Name: LIGHTFULLY BEHAVIORAL HEALTH COMET
Facility Address: 285 N EL CAMINO REAL STE 114
ENCINITAS, CA
ZIP 92024
Facility Phone: 818 483-0865
Facility Type: Skilled Nursing Facility/Nursing Facility
Facility Type: Waiver
Lab Director: KRISTY LAMB
NPI Number: 1457006496
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2280460
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LIGHTFULLY BEHAVIORAL HEALTH COMET
Street	285 N EL CAMINO REAL STE 114
City	ENCINITAS
State	CA
ZIP	92024
Phone	818 483-0865
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/19/2025
Certificate Expiration Date	4/18/2027
Facility Type	Skilled Nursing Facility/Nursing Facility
Lab Director	KRISTY LAMB

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