05D0998540 CLIA NUMBER - DEDICATED HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D0998540
  • Facility Name: DEDICATED HOME HEALTH CARE
  • Facility Address: 601 S BRAND BLVD STE 312
    SAN FERNANDO, CA
    ZIP 91340
  • Facility Phone: 818 548-2684
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RAMI SHAARAWY
  • NPI Number: 1902803752
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0998540
LAB Type Home Health Agency
Facility Name DEDICATED HOME HEALTH CARE
Street 601 S BRAND BLVD STE 312
City SAN FERNANDO
State CA
ZIP 91340
Phone 818 548-2684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Home Health Agency
Lab Director RAMI SHAARAWY

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This page was last updated on: 6/4/2025