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05D1003896 CLIA NUMBER - VIRGINIA HOME CARE INC

Laboratory Demographics

CLIA Number: 05D1003896

Facility Name: VIRGINIA HOME CARE INC

Facility Address:
1 WEST CALIFORNIA BLVD STE 226
PASADENA, CA
ZIP 91105
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Facility Phone Number: 626 796-5296

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1194882530

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 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
CertificateType 4
CertificateEffectiveDate 7/23/2023
CertificateExpirationDate 7/22/2025
FacilityType Waiver

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