05D0547935 CLIA NUMBER - COAST CARE CONVALESCENT CENTER

Laboratory Demographics

  • CLIA Code: 05D0547935
  • Facility Name: COAST CARE CONVALESCENT CENTER
  • Facility Address: 14518 EAST LOS ANGELES ST
    BALDWIN PARK, CA
    ZIP 91706
  • Facility Phone: 626 337-7229
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GILDITA GARCIA
  • NPI Number: 1770564114
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0547935
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COAST CARE CONVALESCENT CENTER
Street 14518 EAST LOS ANGELES ST
City BALDWIN PARK
State CA
ZIP 91706
Phone 626 337-7229
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 GILDITA GARCIA

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