05D1019166 CLIA NUMBER - EL CAMINO ADULT DAY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D1019166
  • Facility Name: EL CAMINO ADULT DAY HEALTH CARE
  • Facility Address: 15429 CRENSHAW BLVD STE D
    GARDENA, CA
    ZIP 90249
  • Facility Phone: 310 679-7624
  • Facility Type: Other - COMMUNITY BASED ADULT SVC
  • Facility Type: Waiver
  • Lab Director: HAKOP OGANYAN
  • NPI Number: 1174744510
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1019166
LAB Type Other - COMMUNITY BASED ADULT SVC
Facility Name EL CAMINO ADULT DAY HEALTH CARE
Street 15429 CRENSHAW BLVD STE D
City GARDENA
State CA
ZIP 90249
Phone 310 679-7624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Other - COMMUNITY BASED ADULT SVC
Lab Director HAKOP OGANYAN

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