05D0922457 CLIA NUMBER - ALDEN HOME HEALTH, INC

Laboratory Demographics

CLIA Number: 05D0922457

Facility Name: ALDEN HOME HEALTH, INC

Facility Address:
1061 WEST AVENUE M-14 SUITE A
PALMDALE, CA
ZIP 93551
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Facility Phone Number: 661 266-8560

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1821089830

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 05D0922457
LAB Type Home Health Agency
Facility Name ALDEN HOME HEALTH, INC
Street 1061 WEST AVENUE M-14 SUITE A
City PALMDALE
State CA
ZIP 93551
Phone 661 266-8560
CertificateType 4
CertificateEffectiveDate 11/25/2022
CertificateExpirationDate 11/24/2024
FacilityType Waiver

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