05D2066723 CLIA NUMBER - LA CASA PSYCHIATRIC HEALTH FACILITY

Laboratory Demographics

  • CLIA Code: 05D2066723
  • Facility Name: LA CASA PSYCHIATRIC HEALTH FACILITY
  • Facility Address: 6060 N PARAMOUNT BLVD, PHF UNIT
    LONG BEACH, CA
    ZIP 90805
  • Facility Phone: 562 630-8672
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KISHORE DESAGANI, MD
  • NPI Number: 1497831648
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2066723
LAB Type Hospital
Facility Name LA CASA PSYCHIATRIC HEALTH FACILITY
Street 6060 N PARAMOUNT BLVD, PHF UNIT
City LONG BEACH
State CA
ZIP 90805
Phone 562 630-8672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Hospital
Lab Director KISHORE DESAGANI, MD

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