05D2117482 CLIA NUMBER - AGAPE CONGREGATE LIVING

Laboratory Demographics

  • CLIA Code: 05D2117482
  • Facility Name: AGAPE CONGREGATE LIVING
  • Facility Address: 302 FAIRWAY LN
    PLACENTIA, CA
    ZIP 92870
  • Facility Phone: 657 275-9127
  • Facility Type: Other - CONGREGATE LIVING
  • Facility Type: Waiver
  • Lab Director: SASAN SALMI
  • NPI Number: 1023400538
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2117482
LAB Type Other - CONGREGATE LIVING
Facility Name AGAPE CONGREGATE LIVING
Street 302 FAIRWAY LN
City PLACENTIA
State CA
ZIP 92870
Phone 657 275-9127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Other - CONGREGATE LIVING
Lab Director SASAN SALMI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025