05D1000022 CLIA NUMBER - RELY ABLE HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 05D1000022

Facility Name: RELY ABLE HOME HEALTH CARE

Facility Address:
331 ARDEN AVENUE SUITE 101
GLENDALE, CA
ZIP 91203
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Facility Phone Number: 818 241-6470

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1194894782

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D1000022
LAB Type Home Health Agency
Facility Name RELY ABLE HOME HEALTH CARE
Street 331 ARDEN AVENUE SUITE 101
City GLENDALE
State CA
ZIP 91203
Phone 818 241-6470
CertificateType 4
CertificateEffectiveDate 5/30/2022
CertificateExpirationDate 5/29/2024
FacilityType Waiver

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