05D2301136 CLIA NUMBER - PACIFIC VILLAS POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D2301136
  • Facility Name: PACIFIC VILLAS POST ACUTE
  • Facility Address: 3220 THUNDER DRIVE
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 831 424-8072
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOREN SCOTT NOVAK
  • NPI Number: 1104491638
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2301136
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PACIFIC VILLAS POST ACUTE
Street 3220 THUNDER DRIVE
City OCEANSIDE
State CA
ZIP 92056
Phone 831 424-8072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LOREN SCOTT NOVAK

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