05D0884844 CLIA NUMBER - GARDENA CONVALESCENT CENTER

Laboratory Demographics

  • CLIA Code: 05D0884844
  • Facility Name: GARDENA CONVALESCENT CENTER
  • Facility Address: 14819 S VERMONT AVE
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 310 532-9460
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ASHOK KUMAR
  • NPI Number: 1346225059
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0884844
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GARDENA CONVALESCENT CENTER
Street 14819 S VERMONT AVE
City GARDENA
State CA
ZIP 90247
Phone 310 532-9460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ASHOK KUMAR

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