05D0993217 CLIA NUMBER - GRACEFUL SENESCENCE ADULT DAY HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 05D0993217
  • Facility Name: GRACEFUL SENESCENCE ADULT DAY HEALTH CARE, INC
  • Facility Address: 120 W EL SEGUNDO BLVD
    LOS ANGELES, CA
    ZIP 90061
  • Facility Phone: 310 538-5808
  • Facility Type: Other - ADULT DAY HEALTH CTR
  • Facility Type: Waiver
  • Lab Director: WILLIAM SIMPSON
  • NPI Number: 1033221452
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0993217
LAB Type Other - ADULT DAY HEALTH CTR
Facility Name GRACEFUL SENESCENCE ADULT DAY HEALTH CARE, INC
Street 120 W EL SEGUNDO BLVD
City LOS ANGELES
State CA
ZIP 90061
Phone 310 538-5808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Other - ADULT DAY HEALTH CTR
Lab Director WILLIAM SIMPSON

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This page was last updated on: 6/4/2025