05D0880891 CLIA NUMBER - FREEDOM VILLAGE HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0880891
  • Facility Name: FREEDOM VILLAGE HEALTH CARE CENTER
  • Facility Address: 23442 EL TORO RD BLDG 2
    LAKE FOREST, CA
    ZIP 92630
  • Facility Phone: 949 472-4733
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAZIAR ZAMANI, MD
  • NPI Number: 1841354354
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0880891
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FREEDOM VILLAGE HEALTH CARE CENTER
Street 23442 EL TORO RD BLDG 2
City LAKE FOREST
State CA
ZIP 92630
Phone 949 472-4733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MAZIAR ZAMANI, MD

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