05D0907739 CLIA NUMBER - TOTAL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D0907739
  • Facility Name: TOTAL HOME HEALTH
  • Facility Address: 440 W COLORADO ST STE 208
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 213 250-2022
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAHANE RAVINDRANATH
  • NPI Number: 1699766212
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0907739
LAB Type Home Health Agency
Facility Name TOTAL HOME HEALTH
Street 440 W COLORADO ST STE 208
City GLENDALE
State CA
ZIP 91204
Phone 213 250-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Home Health Agency
Lab Director SHAHANE RAVINDRANATH

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