05D0988922 CLIA NUMBER - RAMONA ADULT DAY HLTH CARE CTR

Laboratory Demographics

CLIA Number: 05D0988922

Facility Name: RAMONA ADULT DAY HLTH CARE CTR

Facility Address:
13310 RAMONA BLVD UNIT K
BALDWIN PARK, CA
ZIP 91706
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Facility Phone Number: 626 960-9757

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1205030624

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0988922
LAB Type	Other
Facility Name	RAMONA ADULT DAY HLTH CARE CTR
Street	13310 RAMONA BLVD UNIT K
City	BALDWIN PARK
State	CA
ZIP	91706
Phone	626 960-9757
CertificateType	4
CertificateEffectiveDate	7/11/2023
CertificateExpirationDate	7/10/2025
FacilityType	Waiver

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