05D2168635 CLIA NUMBER - SUNSHINE 1 CONGREGATE HOME, INC

Laboratory Demographics

  • CLIA Code: 05D2168635
  • Facility Name: SUNSHINE 1 CONGREGATE HOME, INC
  • Facility Address: 1721 242ND STREET
    LOMITA, CA
    ZIP 90717
  • Facility Phone: 424 347-7065
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ABRISHAMI BABAK, MD
  • NPI Number: 1982184743
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2168635
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNSHINE 1 CONGREGATE HOME, INC
Street 1721 242ND STREET
City LOMITA
State CA
ZIP 90717
Phone 424 347-7065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ABRISHAMI BABAK, 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