05D0913977 CLIA NUMBER - CARE ESSENTIALS HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 05D0913977
  • Facility Name: CARE ESSENTIALS HOME HEALTH, INC
  • Facility Address: 22573 BARTON RD, STE B
    GRAND TERRACE, CA
    ZIP 92313
  • Facility Phone: 909 883-0288
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAREEF TAHSEEN
  • NPI Number: 1306888631
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0913977
LAB Type Home Health Agency
Facility Name CARE ESSENTIALS HOME HEALTH, INC
Street 22573 BARTON RD, STE B
City GRAND TERRACE
State CA
ZIP 92313
Phone 909 883-0288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Home Health Agency
Lab Director SHAREEF TAHSEEN

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