05D2306726 CLIA NUMBER - TEMPLE GARDEN HOMES FOR THE DEVELOPMENTALLY DISABLED, INC

Laboratory Demographics

  • CLIA Code: 05D2306726
  • Facility Name: TEMPLE GARDEN HOMES FOR THE DEVELOPMENTALLY DISABLED, INC
  • Facility Address: 5120 BALDWIN AVE
    TEMPLE CITY, CA
    ZIP 91780
  • Facility Phone: 626 453-3898
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: DAVID LIN
  • NPI Number: 1366652158
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2306726
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name TEMPLE GARDEN HOMES FOR THE DEVELOPMENTALLY DISABLED, INC
Street 5120 BALDWIN AVE
City TEMPLE CITY
State CA
ZIP 91780
Phone 626 453-3898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DAVID LIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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