05D0555422 CLIA NUMBER - COMMUNITY CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0555422
  • Facility Name: COMMUNITY CARE CENTER
  • Facility Address: 2335 S MOUNTAIN AVE
    DUARTE, CA
    ZIP 91010
  • Facility Phone: 626 357-3207
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NITIN NANDA
  • NPI Number: 1689710535
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0555422
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMMUNITY CARE CENTER
Street 2335 S MOUNTAIN AVE
City DUARTE
State CA
ZIP 91010
Phone 626 357-3207
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 NITIN NANDA

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