05D1009440 CLIA NUMBER - COMPTON ADULT DAY HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 05D1009440
  • Facility Name: COMPTON ADULT DAY HEALTH CARE INC
  • Facility Address: 14925 S ATLANTIC AVENUE
    EAST RANCHO DOMINGUEZ, CA
    ZIP 90221
  • Facility Phone: 310 764-2023
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ERNESTO B. BANAAG MD
  • NPI Number: 1548347743
  • Taxonomy: 163WP0808X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 05D1009440
LAB Type Other
Facility Name COMPTON ADULT DAY HEALTH CARE INC
Street 14925 S ATLANTIC AVENUE
City EAST RANCHO DOMINGUEZ
State CA
ZIP 90221
Phone 310 764-2023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Other
Lab Director ERNESTO B. BANAAG MD

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