05D0894675 CLIA NUMBER - MACLAY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0894675
  • Facility Name: MACLAY HEALTHCARE CENTER
  • Facility Address: 12831 MACLAY STREET
    SYLMAR, CA
    ZIP 91342
  • Facility Phone: 818 361-4455
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EDMUND PETROSSIAN
  • NPI Number: 1255526513
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0894675
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MACLAY HEALTHCARE CENTER
Street 12831 MACLAY STREET
City SYLMAR
State CA
ZIP 91342
Phone 818 361-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EDMUND PETROSSIAN

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This page was last updated on: 6/4/2025