05D0543303 CLIA NUMBER - KEI-AI LOS ANGELES HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0543303
  • Facility Name: KEI-AI LOS ANGELES HEALTHCARE CENTER
  • Facility Address: 2221 LINCOLN PARK AVE
    LOS ANGELES, CA
    ZIP 90031
  • Facility Phone: 323 276-5700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA MA MD
  • NPI Number: 1619347465
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0543303
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KEI-AI LOS ANGELES HEALTHCARE CENTER
Street 2221 LINCOLN PARK AVE
City LOS ANGELES
State CA
ZIP 90031
Phone 323 276-5700
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 LISA MA MD

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