05D0553029 CLIA NUMBER - ROSE VILLA HEALTHCARE CENTER ,

Laboratory Demographics

  • CLIA Code: 05D0553029
  • Facility Name: ROSE VILLA HEALTHCARE CENTER ,
  • Facility Address: 9028 ROSE STREET
    BELLFLOWER, CA
    ZIP 90706
  • Facility Phone: 562 925-4252
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHIVANAND ROA POLE, MD
  • NPI Number: 1619976248
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0553029
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSE VILLA HEALTHCARE CENTER ,
Street 9028 ROSE STREET
City BELLFLOWER
State CA
ZIP 90706
Phone 562 925-4252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHIVANAND ROA POLE, MD

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