05D0699608 CLIA NUMBER - BROADWAY MANOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0699608
  • Facility Name: BROADWAY MANOR CARE CENTER
  • Facility Address: 605 WEST BROADWAY
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 246-7174
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NARINE ARUTYOUNIAN, MD
  • NPI Number: 1053480418
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0699608
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROADWAY MANOR CARE CENTER
Street 605 WEST BROADWAY
City GLENDALE
State CA
ZIP 91204
Phone 818 246-7174
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 NARINE ARUTYOUNIAN, MD

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