05D0929818 CLIA NUMBER - PALM TERRACE HEALTHCARE AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 05D0929818
  • Facility Name: PALM TERRACE HEALTHCARE AND REHABILITATION CENTER
  • Facility Address: 24962 CALLE AARAGON
    LAGUNA WOODS, CA
    ZIP 92637
  • Facility Phone: 949 587-9000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GORDON GLASGOW
  • NPI Number: 1639164361
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0929818
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALM TERRACE HEALTHCARE AND REHABILITATION CENTER
Street 24962 CALLE AARAGON
City LAGUNA WOODS
State CA
ZIP 92637
Phone 949 587-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GORDON GLASGOW

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