05D1089939 CLIA NUMBER - GOLDEN STATE CARE CENTER

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CLIA Record

Field Name Field Value
CLIA Number 05D1089939
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name GOLDEN STATE CARE CENTER
Street 1758 N BIG DALTON AVE
City BALDWIN PARK
State CA
ZIP 91706
Phone 626 962-3274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SUNNY W. WONG DO

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