05D0694639 CLIA NUMBER - ST EDNA SUB-ACUTE & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 05D0694639
  • Facility Name: ST EDNA SUB-ACUTE & REHABILITATION CENTER
  • Facility Address: 1929 NORTH FAIRVIEW
    SANTA ANA, CA
    ZIP 92706
  • Facility Phone: 714 554-9700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GORDON A. GLASGOW MD
  • NPI Number: 1831187848
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0694639
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST EDNA SUB-ACUTE & REHABILITATION CENTER
Street 1929 NORTH FAIRVIEW
City SANTA ANA
State CA
ZIP 92706
Phone 714 554-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GORDON A. GLASGOW 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: 3/20/2025