05D2155409 CLIA NUMBER - ALDERBROOK, INC

Laboratory Demographics

  • CLIA Code: 05D2155409
  • Facility Name: ALDERBROOK, INC
  • Facility Address: 2540 W AVENUE K
    LANCASTER, CA
    ZIP 93536
  • Facility Phone: 661 723-0201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ATEF MOUSA
  • NPI Number: 1932600954
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2155409
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALDERBROOK, INC
Street 2540 W AVENUE K
City LANCASTER
State CA
ZIP 93536
Phone 661 723-0201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ATEF MOUSA

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