05D0879447 CLIA NUMBER - ALDEN TERRACE CONVALESCENT HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0879447
  • Facility Name: ALDEN TERRACE CONVALESCENT HOSPITAL
  • Facility Address: 1240 SO HOOVER ST
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 382-8461
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARISSA B. REYES MD
  • NPI Number: 1568544781
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0879447
LAB Type Other
Facility Name ALDEN TERRACE CONVALESCENT HOSPITAL
Street 1240 SO HOOVER ST
City LOS ANGELES
State CA
ZIP 90006
Phone 213 382-8461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Other
Lab Director MARISSA B. REYES MD

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