05D2320354 CLIA NUMBER - CAREMERIDIAN DBA NEURORESTORATIVE CALIFORNIA

Laboratory Demographics

  • CLIA Code: 05D2320354
  • Facility Name: CAREMERIDIAN DBA NEURORESTORATIVE CALIFORNIA
  • Facility Address: 12461 SPRINGDALE ST
    GARDEN GROVE, CA
    ZIP 92845
  • Facility Phone: 714 933-7560
  • Facility Type: Other - CONGREGATE LIVING HEALTH
  • Facility Type: Waiver
  • Lab Director: RONALD J. CORREA
  • NPI Number: 1033436878
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2320354
LAB Type Other - CONGREGATE LIVING HEALTH
Facility Name CAREMERIDIAN DBA NEURORESTORATIVE CALIFORNIA
Street 12461 SPRINGDALE ST
City GARDEN GROVE
State CA
ZIP 92845
Phone 714 933-7560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Other - CONGREGATE LIVING HEALTH
Lab Director RONALD J. CORREA

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