05D0719704 CLIA NUMBER - SOUTHLAND CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0719704
  • Facility Name: SOUTHLAND CARE CENTER
  • Facility Address: 11701 STUDEBAKER ROAD
    NORWALK, CA
    ZIP 90650
  • Facility Phone: 310 868-9761
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GORDON L. GLASGOW MD
  • NPI Number: 1760477558
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0719704
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHLAND CARE CENTER
Street 11701 STUDEBAKER ROAD
City NORWALK
State CA
ZIP 90650
Phone 310 868-9761
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 L. GLASGOW MD

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