05D1008102 CLIA NUMBER - HOME AVENUE ADULT DAY HEALTHCARE CENTER HOMEAVENUE, INC

Laboratory Demographics

  • CLIA Code: 05D1008102
  • Facility Name: HOME AVENUE ADULT DAY HEALTHCARE CENTER HOMEAVENUE, INC
  • Facility Address: 8114 TELEGRAPH ROAD
    DOWNEY, CA
    ZIP 90240
  • Facility Phone: 562 927-7660
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARCO M. ZAHEDI, MD
  • NPI Number: 1922101989
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1008102
LAB Type Ambulance
Facility Name HOME AVENUE ADULT DAY HEALTHCARE CENTER HOMEAVENUE, INC
Street 8114 TELEGRAPH ROAD
City DOWNEY
State CA
ZIP 90240
Phone 562 927-7660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Ambulance
Lab Director MARCO M. ZAHEDI, MD

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