05D2296143 CLIA NUMBER - COVINA CLHF CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2296143
  • Facility Name: COVINA CLHF CORPORATION
  • Facility Address: 1411 S SANDIA AVE
    WEST COVINA, CA
    ZIP 91790
  • Facility Phone: 626 977-3345
  • Facility Type: Other - CONGREGATE LIVING HLTH
  • Facility Type: Waiver
  • Lab Director: HOSSEIN BABAALI
  • NPI Number: 1861018327
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2296143
LAB Type Other - CONGREGATE LIVING HLTH
Facility Name COVINA CLHF CORPORATION
Street 1411 S SANDIA AVE
City WEST COVINA
State CA
ZIP 91790
Phone 626 977-3345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Other - CONGREGATE LIVING HLTH
Lab Director HOSSEIN BABAALI

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