05D1007963 CLIA NUMBER - MULTI SKILLED HOME CARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D1007963
  • Facility Name: MULTI SKILLED HOME CARE SERVICES INC
  • Facility Address: 19608 CAMINO DE ROSA
    WALNUT, CA
    ZIP 91789
  • Facility Phone: 909 595-0200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MALLU REDDY
  • NPI Number: 1417352733
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1007963
LAB Type Home Health Agency
Facility Name MULTI SKILLED HOME CARE SERVICES INC
Street 19608 CAMINO DE ROSA
City WALNUT
State CA
ZIP 91789
Phone 909 595-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Home Health Agency
Lab Director MALLU REDDY

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