05D1021516 CLIA NUMBER - NIGHTINGALE HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D1021516
  • Facility Name: NIGHTINGALE HOME CARE INC
  • Facility Address: 4579 MAPLE AVE, SUITE 2
    LA MESA, CA
    ZIP 91941
  • Facility Phone: 619 337-1888
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NEELAKANTAN RAMINENI
  • NPI Number: 1225015563
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1021516
LAB Type Home Health Agency
Facility Name NIGHTINGALE HOME CARE INC
Street 4579 MAPLE AVE, SUITE 2
City LA MESA
State CA
ZIP 91941
Phone 619 337-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Home Health Agency
Lab Director NEELAKANTAN RAMINENI

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