05D2142623 CLIA NUMBER - KTLA PROPERTIES LIMITED PARTNERSHIP KATELLA SENIOR LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 05D2142623
  • Facility Name: KTLA PROPERTIES LIMITED PARTNERSHIP KATELLA SENIOR LIVING COMMUNITY
  • Facility Address: 3952 KATELLA AVENUE
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 596-2773
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ETSEGENET AYELE
  • NPI Number: 1912942855
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2142623
LAB Type Assisted Living Facility
Facility Name KTLA PROPERTIES LIMITED PARTNERSHIP KATELLA SENIOR LIVING COMMUNITY
Street 3952 KATELLA AVENUE
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 596-2773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Assisted Living Facility
Lab Director ETSEGENET AYELE

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