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05D1017419 CLIA NUMBER - REHAB FOCUS HOME HEALTH INC DBA FOCUS HEALTH

Laboratory Demographics

CLIA Number: 05D1017419

Facility Name: REHAB FOCUS HOME HEALTH INC DBA FOCUS HEALTH

Facility Address:
4643 QUAIL LAKES DRIVE
STOCKTON, CA
ZIP 95207
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Facility Phone Number: 209 472-7005

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1184896193

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 05D1017419
LAB Type Home Health Agency
Facility Name REHAB FOCUS HOME HEALTH INC DBA FOCUS HEALTH
Street 4643 QUAIL LAKES DRIVE
City STOCKTON
State CA
ZIP 95207
Phone 209 472-7005
CertificateType 4
CertificateEffectiveDate 9/24/2023
CertificateExpirationDate 9/23/2025
FacilityType Waiver

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