05D0557030 CLIA NUMBER - LAC VERDUGO OPERATIONS, LLC DBA GLENDALE POST ACUTE CENTER

Laboratory Demographics

  • CLIA Code: 05D0557030
  • Facility Name: LAC VERDUGO OPERATIONS, LLC DBA GLENDALE POST ACUTE CENTER
  • Facility Address: 250 NORTH VERDUGO ROAD
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 244-1133
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMVEL HMAYAKYAN, MD
  • NPI Number: 1659737906
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0557030
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAC VERDUGO OPERATIONS, LLC DBA GLENDALE POST ACUTE CENTER
Street 250 NORTH VERDUGO ROAD
City GLENDALE
State CA
ZIP 91206
Phone 818 244-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAMVEL HMAYAKYAN, MD

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