05D0881826 CLIA NUMBER - VICTORIA CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0881826
  • Facility Name: VICTORIA CARE CENTER
  • Facility Address: 3541 PUENTE AVE
    BALDWIN PARK, CA
    ZIP 91706
  • Facility Phone: 626 962-1043
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANIL GUPTA, MD
  • NPI Number: 1720243199
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0881826
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VICTORIA CARE CENTER
Street 3541 PUENTE AVE
City BALDWIN PARK
State CA
ZIP 91706
Phone 626 962-1043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANIL GUPTA, MD

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