05D2024182 CLIA NUMBER - CROSS CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2024182
  • Facility Name: CROSS CARE, INC
  • Facility Address: 4055 WILSHIRE BLVD STE 205
    LOS ANGELES, CA
    ZIP 90010
  • Facility Phone: 213 384-3711
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAUL CHANG MD
  • NPI Number: 1104132216
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2024182
LAB Type Home Health Agency
Facility Name CROSS CARE, INC
Street 4055 WILSHIRE BLVD STE 205
City LOS ANGELES
State CA
ZIP 90010
Phone 213 384-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Home Health Agency
Lab Director PAUL CHANG MD

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