05D2152812 CLIA NUMBER - ROYAL CONGREGATE LIVING LLC

Laboratory Demographics

  • CLIA Code: 05D2152812
  • Facility Name: ROYAL CONGREGATE LIVING LLC
  • Facility Address: 7354 DE SOTO AVENUE
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 704-8888
  • Facility Type: Other - CONGREGATE LIVING FACILIT
  • Facility Type: Waiver
  • Lab Director: SUMAN S. PATEL MD
  • NPI Number: 1366934663
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2152812
LAB Type Other - CONGREGATE LIVING FACILIT
Facility Name ROYAL CONGREGATE LIVING LLC
Street 7354 DE SOTO AVENUE
City CANOGA PARK
State CA
ZIP 91303
Phone 818 704-8888
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 FACILIT
Lab Director SUMAN S. PATEL MD

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: 9/29/2025