05D0724229 CLIA NUMBER - CATERED MANOR NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0724229
  • Facility Name: CATERED MANOR NURSING CENTER
  • Facility Address: 4010 VIRGINIA RD
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 310 426-0394
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PEGGY A. HALE
  • NPI Number: 1780672428
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0724229
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CATERED MANOR NURSING CENTER
Street 4010 VIRGINIA RD
City LONG BEACH
State CA
ZIP 90807
Phone 310 426-0394
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 PEGGY A. HALE

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