05D2138093 CLIA NUMBER - CB CAREHOME INC

Laboratory Demographics

  • CLIA Code: 05D2138093
  • Facility Name: CB CAREHOME INC
  • Facility Address: 23331 MALTBY PLACE
    HARBOR CITY, CA
    ZIP 90710
  • Facility Phone: 424 263-4432
  • Facility Type: Other - CONGREGATE LVNG HLTH FA
  • Facility Type: Waiver
  • Lab Director: SHRIKANTH TAMHANE
  • NPI Number: 1174041347
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2138093
LAB Type Other - CONGREGATE LVNG HLTH FA
Facility Name CB CAREHOME INC
Street 23331 MALTBY PLACE
City HARBOR CITY
State CA
ZIP 90710
Phone 424 263-4432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Other - CONGREGATE LVNG HLTH FA
Lab Director SHRIKANTH TAMHANE

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