05D0881681 CLIA NUMBER - GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA

Laboratory Demographics

  • CLIA Code: 05D0881681
  • Facility Name: GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA
  • Facility Address: 1131 ARIZONA AVENUE
    SANTA MONICA, CA
    ZIP 90401
  • Facility Phone: 310 451-4800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DINAH CLOSAS
  • NPI Number: 1114090206
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0881681
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA
Street 1131 ARIZONA AVENUE
City SANTA MONICA
State CA
ZIP 90401
Phone 310 451-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DINAH CLOSAS

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