05D2188433 CLIA NUMBER - GOLDEN STATE HOMES INC

Laboratory Demographics

  • CLIA Code: 05D2188433
  • Facility Name: GOLDEN STATE HOMES INC
  • Facility Address: 1409 N NORMANDIE AVE
    LOS ANGELES, CA
    ZIP 90027
  • Facility Phone: 323 230-4488
  • Facility Type: Other - CONGREGATE FACILITY
  • Facility Type: Waiver
  • Lab Director: BOB ABRISHAMI
  • NPI Number: 1932658010
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2188433
LAB Type Other - CONGREGATE FACILITY
Facility Name GOLDEN STATE HOMES INC
Street 1409 N NORMANDIE AVE
City LOS ANGELES
State CA
ZIP 90027
Phone 323 230-4488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Other - CONGREGATE FACILITY
Lab Director BOB ABRISHAMI

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