05D1003896 CLIA NUMBER - VIRGINIA HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D1003896
  • Facility Name: VIRGINIA HOME CARE INC
  • Facility Address: 1 WEST CALIFORNIA BLVD STE 226
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 796-5296
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HENRY HORTON MD
  • NPI Number: 1194882530
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1003896
LAB Type Home Health Agency
Facility Name VIRGINIA HOME CARE INC
Street 1 WEST CALIFORNIA BLVD STE 226
City PASADENA
State CA
ZIP 91105
Phone 626 796-5296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Home Health Agency
Lab Director HENRY HORTON MD

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