05D0699982 CLIA NUMBER - AG MONROVIA, LLC DBA MONROVIA GARDENS HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0699982
  • Facility Name: AG MONROVIA, LLC DBA MONROVIA GARDENS HEALTHCARE CENTER
  • Facility Address: 615 WEST DUARTE ROAD
    MONROVIA, CA
    ZIP 91016
  • Facility Phone: 626 358-4547
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT LIANG, MD
  • NPI Number: 1043204522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0699982
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AG MONROVIA, LLC DBA MONROVIA GARDENS HEALTHCARE CENTER
Street 615 WEST DUARTE ROAD
City MONROVIA
State CA
ZIP 91016
Phone 626 358-4547
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 SCOTT LIANG, MD

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