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05D0900154 CLIA NUMBER - ACCENTCARE HOME HEALTH OF CA - EL CENTRO HH

Laboratory Demographics

CLIA Number: 05D0900154

Facility Name: ACCENTCARE HOME HEALTH OF CA - EL CENTRO HH

Facility Address:
2344 S 2ND ST STE A
EL CENTRO, CA
ZIP 92243
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Facility Phone Number: 760 352-4022

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1740242718

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 05D0900154
LAB Type Hospice
Facility Name ACCENTCARE HOME HEALTH OF CA - EL CENTRO HH
Street 2344 S 2ND ST STE A
City EL CENTRO
State CA
ZIP 92243
Phone 760 352-4022
CertificateType 4
CertificateEffectiveDate 4/18/2023
CertificateExpirationDate 4/17/2025
FacilityType Waiver

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