05D2164136 CLIA NUMBER - SH ESCALATE ENTERPRISE, INC

Laboratory Demographics

  • CLIA Code: 05D2164136
  • Facility Name: SH ESCALATE ENTERPRISE, INC
  • Facility Address: 2722 S WESTERN AVENUE
    LOS ANGELES, CA
    ZIP 90018
  • Facility Phone: 323 643-4880
  • Facility Type: Other - CONGREGATE LIVING FACILIT
  • Facility Type: Waiver
  • Lab Director: EDWIN H. CHOI
  • NPI Number: 1528568169
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2164136
LAB Type Other - CONGREGATE LIVING FACILIT
Facility Name SH ESCALATE ENTERPRISE, INC
Street 2722 S WESTERN AVENUE
City LOS ANGELES
State CA
ZIP 90018
Phone 323 643-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Other - CONGREGATE LIVING FACILIT
Lab Director EDWIN H. CHOI

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