05D0720734 CLIA NUMBER - PARK REGENCY CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0720734
  • Facility Name: PARK REGENCY CARE CENTER
  • Facility Address: 1770 W LA HABRA BLVD
    LA HABRA, CA
    ZIP 90631
  • Facility Phone: 714 773-0750
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARIANNE J. SCHULTZ
  • NPI Number: 1184720005
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0720734
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK REGENCY CARE CENTER
Street 1770 W LA HABRA BLVD
City LA HABRA
State CA
ZIP 90631
Phone 714 773-0750
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 MARIANNE J. SCHULTZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025