05D0554458 CLIA NUMBER - COVENANT CARE CALIFORNIA, LLC DBA ROYAL CARE SKILLED NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0554458
  • Facility Name: COVENANT CARE CALIFORNIA, LLC DBA ROYAL CARE SKILLED NURSING CENTER
  • Facility Address: 2725 PACIFIC AVE
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 427-7493
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TOAN TRONG TYLER NGUYEN MD
  • NPI Number: 1053453902
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0554458
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COVENANT CARE CALIFORNIA, LLC DBA ROYAL CARE SKILLED NURSING CENTER
Street 2725 PACIFIC AVE
City LONG BEACH
State CA
ZIP 90806
Phone 562 427-7493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TOAN TRONG TYLER NGUYEN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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