05D2290969 CLIA NUMBER - FLORAL PARK CARE

Laboratory Demographics

CLIA Code: 05D2290969
Facility Name: FLORAL PARK CARE
Facility Address: 2615 N GREENBRIER ST
SANTA ANA, CA
ZIP 92706
Facility Phone: 818 213-7779
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: SIKANDER KAJANI
NPI Number: 1689354698
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	05D2290969
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	FLORAL PARK CARE
Street	2615 N GREENBRIER ST
City	SANTA ANA
State	CA
ZIP	92706
Phone	818 213-7779
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/3/2025
Certificate Expiration Date	10/2/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SIKANDER KAJANI

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