05D0548314 CLIA NUMBER - AG LYNWOOD, LLC DBA LYNWOOD HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0548314
  • Facility Name: AG LYNWOOD, LLC DBA LYNWOOD HEALTHCARE CENTER
  • Facility Address: 3611 EAST IMPERIAL HIGHWAY
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 310 537-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICARDO MCKENZIE, MD
  • NPI Number: 1144214628
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0548314
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AG LYNWOOD, LLC DBA LYNWOOD HEALTHCARE CENTER
Street 3611 EAST IMPERIAL HIGHWAY
City LYNWOOD
State CA
ZIP 90262
Phone 310 537-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICARDO MCKENZIE, MD

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