05D0547737 CLIA NUMBER - KINDRED HOSPITAL SOUTH BAY

Laboratory Demographics

  • CLIA Code: 05D0547737
  • Facility Name: KINDRED HOSPITAL SOUTH BAY
  • Facility Address: 1246 WEST 155TH STREET
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 310 768-2280
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: THOMAS J. COOPER MD
  • NPI Number: 1215247978
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0547737
LAB Type Hospital
Facility Name KINDRED HOSPITAL SOUTH BAY
Street 1246 WEST 155TH STREET
City GARDENA
State CA
ZIP 90247
Phone 310 768-2280
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director THOMAS J. COOPER MD

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