05D2037786 CLIA NUMBER - BLOOMFIELD WEST INC DBA MARLINDA WEST NURSING HOME

Laboratory Demographics

  • CLIA Code: 05D2037786
  • Facility Name: BLOOMFIELD WEST INC DBA MARLINDA WEST NURSING HOME
  • Facility Address: 3333 E IMPERIAL HWY
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 310 631-6122
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: JOSE L. PEREZ
  • NPI Number: 1881073419
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2037786
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name BLOOMFIELD WEST INC DBA MARLINDA WEST NURSING HOME
Street 3333 E IMPERIAL HWY
City LYNWOOD
State CA
ZIP 90262
Phone 310 631-6122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JOSE L. PEREZ

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