05D2181813 CLIA NUMBER - SDKJ FOREVER LLC

Laboratory Demographics

  • CLIA Code: 05D2181813
  • Facility Name: SDKJ FOREVER LLC
  • Facility Address: 11428 E ARTESIA BLVD, SUITE 26
    ARTESIA, CA
    ZIP 90701
  • Facility Phone: 800 407-1545
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GARY SANDHU
  • NPI Number: 1689051559
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2181813
LAB Type Hospice
Facility Name SDKJ FOREVER LLC
Street 11428 E ARTESIA BLVD, SUITE 26
City ARTESIA
State CA
ZIP 90701
Phone 800 407-1545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Hospice
Lab Director GARY SANDHU

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