05D2014352 CLIA NUMBER - COASTAL CARE INC

Laboratory Demographics

  • CLIA Code: 05D2014352
  • Facility Name: COASTAL CARE INC
  • Facility Address: 21707 HAWTHORNE BLVD STE 106
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 543-3211
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHN W. WALKER, MD
  • NPI Number: 1528297231
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2014352
LAB Type Home Health Agency
Facility Name COASTAL CARE INC
Street 21707 HAWTHORNE BLVD STE 106
City TORRANCE
State CA
ZIP 90503
Phone 310 543-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Home Health Agency
Lab Director JOHN W. WALKER, MD

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