05D0556998 CLIA NUMBER - AUTUMN HILLS HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0556998
  • Facility Name: AUTUMN HILLS HEALTH CARE CENTER
  • Facility Address: 430 N GLENDALE AVE
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 246-5677
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEVEN D. KAMAJIAN
  • NPI Number: 1659343192
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0556998
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN HILLS HEALTH CARE CENTER
Street 430 N GLENDALE AVE
City GLENDALE
State CA
ZIP 91206
Phone 818 246-5677
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 STEVEN D. KAMAJIAN

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