05D0577163 CLIA NUMBER - ALTA CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0577163
  • Facility Name: ALTA CARE CENTER
  • Facility Address: 13075 BLACKBIRD STREET
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 530-6322
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALLEN C. CHOU MD
  • NPI Number: 1326037847
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0577163
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALTA CARE CENTER
Street 13075 BLACKBIRD STREET
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 530-6322
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 ALLEN C. CHOU MD

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This page was last updated on: 3/20/2025