05D0642477 CLIA NUMBER - SOLHEIM LUTHERAN HOME

Laboratory Demographics

  • CLIA Code: 05D0642477
  • Facility Name: SOLHEIM LUTHERAN HOME
  • Facility Address: 2236 MERTON AVENUE
    LOS ANGELES, CA
    ZIP 90041
  • Facility Phone: 213 257-7518
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JACK YU
  • NPI Number: 1114901741
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0642477
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOLHEIM LUTHERAN HOME
Street 2236 MERTON AVENUE
City LOS ANGELES
State CA
ZIP 90041
Phone 213 257-7518
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 JACK YU

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