05D0961524 CLIA NUMBER - EPIC HOMECARE INC

Laboratory Demographics

  • CLIA Code: 05D0961524
  • Facility Name: EPIC HOMECARE INC
  • Facility Address: 6404 WILSHIRE BLVD STE 550
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 323 655-6186
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. SAMUEL H. ROSS
  • NPI Number: 1235136177
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0961524
LAB Type Home Health Agency
Facility Name EPIC HOMECARE INC
Street 6404 WILSHIRE BLVD STE 550
City LOS ANGELES
State CA
ZIP 90048
Phone 323 655-6186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Home Health Agency
Lab Director DR. SAMUEL H. ROSS

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