05D0565394 CLIA NUMBER - ATHERTON BAPTIST HOMES

Laboratory Demographics

  • CLIA Code: 05D0565394
  • Facility Name: ATHERTON BAPTIST HOMES
  • Facility Address: 214 S ATLANTIC BLVD
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 818 289-4178
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW N. MULLER
  • NPI Number: 1528049954
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0565394
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ATHERTON BAPTIST HOMES
Street 214 S ATLANTIC BLVD
City ALHAMBRA
State CA
ZIP 91801
Phone 818 289-4178
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 ANDREW N. MULLER

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