05D1019108 CLIA NUMBER - STARLITE ADULT DAY HEALTH CARE CENTER

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Laboratory Demographics

CLIA Number: 05D1019108

Facility Name: STARLITE ADULT DAY HEALTH CARE CENTER

Facility Address:
9825 E GARVEY AVENUE
EL MONTE, CA
ZIP 91733
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Facility Phone Number: 626 350-0011

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1740471523

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1019108
LAB Type	Ambulance
Facility Name	STARLITE ADULT DAY HEALTH CARE CENTER
Street	9825 E GARVEY AVENUE
City	EL MONTE
State	CA
ZIP	91733
Phone	626 350-0011
CertificateType	4
CertificateEffectiveDate	11/10/2023
CertificateExpirationDate	11/9/2025
FacilityType	Waiver

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