05D0907547 CLIA NUMBER - UNIQUE HOME HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 05D0907547

Facility Name: UNIQUE HOME HEALTH SERVICES INC

Facility Address:
596 NORTH LAKE AVE, STE 101
PASADENA, CA
ZIP 91101
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Facility Phone Number: 626 577-7596

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1750476180

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	05D0907547
LAB Type	Home Health Agency
Facility Name	UNIQUE HOME HEALTH SERVICES INC
Street	596 NORTH LAKE AVE, STE 101
City	PASADENA
State	CA
ZIP	91101
Phone	626 577-7596
CertificateType	4
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	10/15/2025
FacilityType	Waiver

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