05D0876411 CLIA NUMBER - MAPLE HEALCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0876411
  • Facility Name: MAPLE HEALCARE CENTER
  • Facility Address: 2625 MAPLE AVE
    LOS ANGELES, CA
    ZIP 90011
  • Facility Phone: 213 747-6371
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEVEN WANG
  • NPI Number: 1710972062
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0876411
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE HEALCARE CENTER
Street 2625 MAPLE AVE
City LOS ANGELES
State CA
ZIP 90011
Phone 213 747-6371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEVEN WANG

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