05D0963467 CLIA NUMBER - QUALITY HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 05D0963467
  • Facility Name: QUALITY HOME HEALTH AGENCY
  • Facility Address: 4375 E LOWELL STREET, SUITE I
    ONTARIO, CA
    ZIP 91761
  • Facility Phone: 909 390-3293
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SCOTT SALE, MD
  • NPI Number: 1194882035
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0963467
LAB Type Home Health Agency
Facility Name QUALITY HOME HEALTH AGENCY
Street 4375 E LOWELL STREET, SUITE I
City ONTARIO
State CA
ZIP 91761
Phone 909 390-3293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Home Health Agency
Lab Director SCOTT SALE, MD

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