05D0975152 CLIA NUMBER - PRIORITY ONE HOME HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D0975152
  • Facility Name: PRIORITY ONE HOME HEALTH SERVICES INC
  • Facility Address: 4959 PALO VERDE STREET, #108C
    MONTCLAIR, CA
    ZIP 91763
  • Facility Phone: 909 625-6377
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEE BENG KO LIM MD
  • NPI Number: 1083609853
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0975152
LAB Type Home Health Agency
Facility Name PRIORITY ONE HOME HEALTH SERVICES INC
Street 4959 PALO VERDE STREET, #108C
City MONTCLAIR
State CA
ZIP 91763
Phone 909 625-6377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Home Health Agency
Lab Director DEE BENG KO LIM MD

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