05D0919851 CLIA NUMBER - PRECAUTIONARY HOME HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 05D0919851
  • Facility Name: PRECAUTIONARY HOME HEALTH SERVICES, INC
  • Facility Address: 11011 CRENSHAW BLVD STE 203
    INGLEWOOD, CA
    ZIP 90303
  • Facility Phone: 323 241-1150
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MYRON HALL, DPM
  • NPI Number: 1578614087
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0919851
LAB Type Home Health Agency
Facility Name PRECAUTIONARY HOME HEALTH SERVICES, INC
Street 11011 CRENSHAW BLVD STE 203
City INGLEWOOD
State CA
ZIP 90303
Phone 323 241-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Home Health Agency
Lab Director MYRON HALL, DPM

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