05D0880882 CLIA NUMBER - MONTEBELLO CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0880882
  • Facility Name: MONTEBELLO CARE CENTER
  • Facility Address: 1035 WEST BEVERLY ROAD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 724-1315
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AZMY GHALY MD
  • NPI Number: 1447225438
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0880882
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTEBELLO CARE CENTER
Street 1035 WEST BEVERLY ROAD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 724-1315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AZMY GHALY MD

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