05D0866951 CLIA NUMBER - SKYLINE HEALTHCARE & WELLNESS CENTER, LLC DBA SKYLINE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0866951
  • Facility Name: SKYLINE HEALTHCARE & WELLNESS CENTER, LLC DBA SKYLINE HEALTHCARE CENTER
  • Facility Address: 3032 ROWENA AVE
    LOS ANGELES, CA
    ZIP 90039
  • Facility Phone: 323 665-1185
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS MARTINEZ
  • NPI Number: 1023080660
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0866951
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SKYLINE HEALTHCARE & WELLNESS CENTER, LLC DBA SKYLINE HEALTHCARE CENTER
Street 3032 ROWENA AVE
City LOS ANGELES
State CA
ZIP 90039
Phone 323 665-1185
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 CARLOS MARTINEZ

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