05D0918666 CLIA NUMBER - SPIRIT HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D0918666
  • Facility Name: SPIRIT HOME HEALTH CARE
  • Facility Address: 8929 SEPULVEDA BLVD STE 306
    WESTCHESTER, CA
    ZIP 90045
  • Facility Phone: 310 641-4100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAYMON BANAFSHE, DO
  • NPI Number: 1649263492
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0918666
LAB Type Home Health Agency
Facility Name SPIRIT HOME HEALTH CARE
Street 8929 SEPULVEDA BLVD STE 306
City WESTCHESTER
State CA
ZIP 90045
Phone 310 641-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Home Health Agency
Lab Director PAYMON BANAFSHE, DO

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