05D0896253 CLIA NUMBER - PHYSICIANS CHOICE HOME HEALTH INC

Laboratory Demographics

CLIA Number: 05D0896253

Facility Name: PHYSICIANS CHOICE HOME HEALTH INC

Facility Address:
3220 SEPULVEDA BLVD STE 100
TORRANCE, CA
ZIP 90505
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Facility Phone Number: 310 793-1616

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1538114913

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	05D0896253
LAB Type	Home Health Agency
Facility Name	PHYSICIANS CHOICE HOME HEALTH INC
Street	3220 SEPULVEDA BLVD STE 100
City	TORRANCE
State	CA
ZIP	90505
Phone	310 793-1616
CertificateType	4
CertificateEffectiveDate	12/27/2023
CertificateExpirationDate	12/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024