05D2001805 CLIA NUMBER - TEMPLE GARDEN HOMES FOR THE DEVELOPMENTAL DISABLED

Laboratory Demographics

  • CLIA Code: 05D2001805
  • Facility Name: TEMPLE GARDEN HOMES FOR THE DEVELOPMENTAL DISABLED
  • Facility Address: 10202 GREEN STREET
    TEMPLE CITY, CA
    ZIP 91780
  • Facility Phone: 626 455-0677
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: JOSE R. PILPA
  • NPI Number: 1366580052
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 05D2001805
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name TEMPLE GARDEN HOMES FOR THE DEVELOPMENTAL DISABLED
Street 10202 GREEN STREET
City TEMPLE CITY
State CA
ZIP 91780
Phone 626 455-0677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JOSE R. PILPA

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