05D0983085 CLIA NUMBER - GENUS HOME CARE OF UPLAND

Laboratory Demographics

  • CLIA Code: 05D0983085
  • Facility Name: GENUS HOME CARE OF UPLAND
  • Facility Address: 1476 W. NINTH ST. STE. B1
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 981-1821
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GHASSAN HADI
  • NPI Number: 1508941923
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0983085
LAB Type Home Health Agency
Facility Name GENUS HOME CARE OF UPLAND
Street 1476 W. NINTH ST. STE. B1
City UPLAND
State CA
ZIP 91786
Phone 909 981-1821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Home Health Agency
Lab Director GHASSAN HADI

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