05D2150081 CLIA NUMBER - SAINT MARIAM CONGRAGATE

Laboratory Demographics

  • CLIA Code: 05D2150081
  • Facility Name: SAINT MARIAM CONGRAGATE
  • Facility Address: 13749 ALDERGROVE STREET
    SYLMAR, CA
    ZIP 91342
  • Facility Phone: 818 635-5777
  • Facility Type: Other - CONGREGATE HEALTH LIVING
  • Facility Type: Waiver
  • Lab Director: LOUIS B. FLORES
  • NPI Number: 1437750981
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2150081
LAB Type Other - CONGREGATE HEALTH LIVING
Facility Name SAINT MARIAM CONGRAGATE
Street 13749 ALDERGROVE STREET
City SYLMAR
State CA
ZIP 91342
Phone 818 635-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Other - CONGREGATE HEALTH LIVING
Lab Director LOUIS B. FLORES

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