05D0543991 CLIA NUMBER - DUNLAP SANITARIUM

Laboratory Demographics

  • CLIA Code: 05D0543991
  • Facility Name: DUNLAP SANITARIUM
  • Facility Address: 6011 WEST BOULEVARD
    LOS ANGELES, CA
    ZIP 90043
  • Facility Phone: 213 292-0745
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARY F. JACKSON
  • NPI Number: 1447329636
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0543991
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DUNLAP SANITARIUM
Street 6011 WEST BOULEVARD
City LOS ANGELES
State CA
ZIP 90043
Phone 213 292-0745
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 MARY F. JACKSON

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