05D0547765 CLIA NUMBER - SOUTH BAY KEIRO NURSING HOME

Laboratory Demographics

  • CLIA Code: 05D0547765
  • Facility Name: SOUTH BAY KEIRO NURSING HOME
  • Facility Address: 15115 S VERMONT AVE
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 310 532-0700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HOWARD HIYOSHIDA
  • NPI Number: 1538279419
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0547765
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH BAY KEIRO NURSING HOME
Street 15115 S VERMONT AVE
City GARDENA
State CA
ZIP 90247
Phone 310 532-0700
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 HOWARD HIYOSHIDA

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