05D0988394 CLIA NUMBER - HORIZON CBAS

Laboratory Demographics

CLIA Number: 05D0988394

Facility Name: HORIZON CBAS

Facility Address:
1035 S HARBISON AVE
NATIONAL CITY, CA
ZIP 91950
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Facility Phone Number: 619 474-1822

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1528107273

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0988394
LAB Type	Home Health Agency
Facility Name	HORIZON CBAS
Street	1035 S HARBISON AVE
City	NATIONAL CITY
State	CA
ZIP	91950
Phone	619 474-1822
CertificateType	4
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024