05D0883589 CLIA NUMBER - SANTA MONICA HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0883589
  • Facility Name: SANTA MONICA HEALTH CARE CENTER
  • Facility Address: 1320 20TH STREET
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 829-4301
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARILYN GRANGER
  • NPI Number: 1720051295
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0883589
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SANTA MONICA HEALTH CARE CENTER
Street 1320 20TH STREET
City SANTA MONICA
State CA
ZIP 90404
Phone 310 829-4301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARILYN GRANGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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