05D0877145 CLIA NUMBER - WESTERN CONVALESCENT HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0877145
  • Facility Name: WESTERN CONVALESCENT HOSPITAL
  • Facility Address: 2190 WEST ADAMS BOULEVARD
    LOS ANGELES, CA
    ZIP 90018
  • Facility Phone: 213 737-7778
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ZOSIMA E. SALTING
  • NPI Number: 1205919339
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0877145
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTERN CONVALESCENT HOSPITAL
Street 2190 WEST ADAMS BOULEVARD
City LOS ANGELES
State CA
ZIP 90018
Phone 213 737-7778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ZOSIMA E. SALTING

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