05D2183495 CLIA NUMBER - WEST COAST CONGREGATE, INC

Laboratory Demographics

  • CLIA Code: 05D2183495
  • Facility Name: WEST COAST CONGREGATE, INC
  • Facility Address: 14905 SANDRA STREET
    MISSION HILLS, CA
    ZIP 91345
  • Facility Phone: 818 698-4557
  • Facility Type: Other - CLHF
  • Facility Type: Waiver
  • Lab Director: SUMAN PATEL
  • NPI Number: 1013478973
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2183495
LAB Type Other - CLHF
Facility Name WEST COAST CONGREGATE, INC
Street 14905 SANDRA STREET
City MISSION HILLS
State CA
ZIP 91345
Phone 818 698-4557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Other - CLHF
Lab Director SUMAN PATEL

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