05D0985800 CLIA NUMBER - CARSON ADULT DAY HEALTH CARE CTR

Laboratory Demographics

  • CLIA Code: 05D0985800
  • Facility Name: CARSON ADULT DAY HEALTH CARE CTR
  • Facility Address: 23517 S MAIN ST STE 110
    CARSON, CA
    ZIP 90745
  • Facility Phone: 310 522-3860
  • Facility Type: Other - ADULT DAY HEALTHCARE CTR
  • Facility Type: Waiver
  • Lab Director: ESTRELLA A. AGUINALDO MD
  • NPI Number: 1013058726
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0985800
LAB Type Other - ADULT DAY HEALTHCARE CTR
Facility Name CARSON ADULT DAY HEALTH CARE CTR
Street 23517 S MAIN ST STE 110
City CARSON
State CA
ZIP 90745
Phone 310 522-3860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Other - ADULT DAY HEALTHCARE CTR
Lab Director ESTRELLA A. AGUINALDO MD

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