05D0914045 CLIA NUMBER - LA CRESCENTA HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 05D0914045

Facility Name: LA CRESCENTA HEALTHCARE CENTER

Facility Address:
3050 MONTROSE AVENUE
LA CRESCENTA, CA
ZIP 91214
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Facility Phone Number: 818 236-3400

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1932526688

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D0914045
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LA CRESCENTA HEALTHCARE CENTER
Street	3050 MONTROSE AVENUE
City	LA CRESCENTA
State	CA
ZIP	91214
Phone	818 236-3400
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024