05D1009091 CLIA NUMBER - SORORES, INC DBA WILSHIRE ADULT DAY HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D1009091
  • Facility Name: SORORES, INC DBA WILSHIRE ADULT DAY HEALTH CARE CENTER
  • Facility Address: 433 S NORMANDIE AVE
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 383-0900
  • Facility Type: Other - COMMUNITY BASED ADULT
  • Facility Type: Waiver
  • Lab Director: DAESOON LEEM
  • NPI Number: 1669576724
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1009091
LAB Type Other - COMMUNITY BASED ADULT
Facility Name SORORES, INC DBA WILSHIRE ADULT DAY HEALTH CARE CENTER
Street 433 S NORMANDIE AVE
City LOS ANGELES
State CA
ZIP 90020
Phone 213 383-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Other - COMMUNITY BASED ADULT
Lab Director DAESOON LEEM

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