05D0985308 CLIA NUMBER - ULTRA CARE PLUS ADULT DAY HLTH CARE

Laboratory Demographics

  • CLIA Code: 05D0985308
  • Facility Name: ULTRA CARE PLUS ADULT DAY HLTH CARE
  • Facility Address: 38424 10TH STREET EAST STE A
    PALMDALE, CA
    ZIP 93550
  • Facility Phone: 661 538-0899
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOSE M. PASCUAL MD
  • NPI Number: 1922144294
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0985308
LAB Type Other
Facility Name ULTRA CARE PLUS ADULT DAY HLTH CARE
Street 38424 10TH STREET EAST STE A
City PALMDALE
State CA
ZIP 93550
Phone 661 538-0899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Other
Lab Director JOSE M. PASCUAL MD

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