05D2160463 CLIA NUMBER - ROYAL OAK RESIDENCE, INC

Laboratory Demographics

  • CLIA Code: 05D2160463
  • Facility Name: ROYAL OAK RESIDENCE, INC
  • Facility Address: 10458 PLAINVIEW AVE
    TUJUNGA, CA
    ZIP 91042
  • Facility Phone: 877 250-2404
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUMAN PATEL
  • NPI Number: 1922404870
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2160463
LAB Type Assisted Living Facility
Facility Name ROYAL OAK RESIDENCE, INC
Street 10458 PLAINVIEW AVE
City TUJUNGA
State CA
ZIP 91042
Phone 877 250-2404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Assisted Living Facility
Lab Director SUMAN PATEL

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