05D0551710 CLIA NUMBER - BUENA PARK NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0551710
  • Facility Name: BUENA PARK NURSING CENTER
  • Facility Address: 8520 WESTERN AVE
    BUENA PARK, CA
    ZIP 90620
  • Facility Phone: 714 828-8222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHING G. LEE
  • NPI Number: 1982760104
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D0551710
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BUENA PARK NURSING CENTER
Street 8520 WESTERN AVE
City BUENA PARK
State CA
ZIP 90620
Phone 714 828-8222
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 CHING G. LEE

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