05D0928875 CLIA NUMBER - VISITING HOME NURSES INC

Laboratory Demographics

  • CLIA Code: 05D0928875
  • Facility Name: VISITING HOME NURSES INC
  • Facility Address: 10630 TOWN CENTER DR, STE 120
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 484-7881
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: EZZAT NASHED
  • NPI Number: 1285758573
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0928875
LAB Type Home Health Agency
Facility Name VISITING HOME NURSES INC
Street 10630 TOWN CENTER DR, STE 120
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 484-7881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Home Health Agency
Lab Director EZZAT NASHED

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