05D1016892 CLIA NUMBER - NORMANDIE PLACE

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CLIA Record

Field Name Field Value
CLIA Number 05D1016892
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORMANDIE PLACE
Street 14509 S NORMANDIE AVENUE
City GARDENA
State CA
ZIP 90247
Phone 310 767-1390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HAZEL MCKILLOP MD

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