05D0721156 CLIA NUMBER - LONG BEACH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0721156
  • Facility Name: LONG BEACH CARE CENTER
  • Facility Address: 2615 GRAND AVENUE
    LONG BEACH, CA
    ZIP 90815
  • Facility Phone: 562 426-6141
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAKSHMAN MAKANDURA, MD
  • NPI Number: 1043305782
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0721156
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LONG BEACH CARE CENTER
Street 2615 GRAND AVENUE
City LONG BEACH
State CA
ZIP 90815
Phone 562 426-6141
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 LAKSHMAN MAKANDURA, MD

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