05D1010069 CLIA NUMBER - INFINITY HOME CARE PROVIDER

Laboratory Demographics

  • CLIA Code: 05D1010069
  • Facility Name: INFINITY HOME CARE PROVIDER
  • Facility Address: 9350 FLAIR DR, STE 268
    EL MONTE, CA
    ZIP 91731
  • Facility Phone: 626 227-0220
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. CARLOS R. MEZA
  • NPI Number: 1801896105
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1010069
LAB Type Home Health Agency
Facility Name INFINITY HOME CARE PROVIDER
Street 9350 FLAIR DR, STE 268
City EL MONTE
State CA
ZIP 91731
Phone 626 227-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Home Health Agency
Lab Director DR. CARLOS R. MEZA

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