05D0577454 CLIA NUMBER - HUNTINGTON VALLEY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0577454
  • Facility Name: HUNTINGTON VALLEY HEALTHCARE CENTER
  • Facility Address: 8382 NEWMAN AVENUE
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 842-5551
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GORDON A. GLASGOW
  • NPI Number: 1821027632
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0577454
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HUNTINGTON VALLEY HEALTHCARE CENTER
Street 8382 NEWMAN AVENUE
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 842-5551
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 GORDON A. GLASGOW

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This page was last updated on: 6/4/2025