05D0908508 CLIA NUMBER - SERRANO HEALTHCARE LLC DBA PALAZZO POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0908508
  • Facility Name: SERRANO HEALTHCARE LLC DBA PALAZZO POST ACUTE
  • Facility Address: 5400 FOUNTAIN AVE
    LOS ANGELES, CA
    ZIP 90029
  • Facility Phone: 323 461-4301
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JIGAR KADAKIA
  • NPI Number: 1659738201
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0908508
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SERRANO HEALTHCARE LLC DBA PALAZZO POST ACUTE
Street 5400 FOUNTAIN AVE
City LOS ANGELES
State CA
ZIP 90029
Phone 323 461-4301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JIGAR KADAKIA

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