05D0725622 CLIA NUMBER - HERITAGE REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 05D0725622
  • Facility Name: HERITAGE REHABILITATION CENTER
  • Facility Address: 21414 SOUTH VERMONT AVENUE
    TORRANCE, CA
    ZIP 90502
  • Facility Phone: 310 320-8714
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WING Y. MAR
  • NPI Number: 1164410783
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0725622
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE REHABILITATION CENTER
Street 21414 SOUTH VERMONT AVENUE
City TORRANCE
State CA
ZIP 90502
Phone 310 320-8714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WING Y. MAR

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This page was last updated on: 6/4/2025