05D1032160 CLIA NUMBER - ABSOLUTE HOME HEALTH AGENCY INC

Laboratory Demographics

  • CLIA Code: 05D1032160
  • Facility Name: ABSOLUTE HOME HEALTH AGENCY INC
  • Facility Address: 1554 S SEPULVEDA BLVD #109
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 231-2222
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KAMRAN KAMRAVA
  • NPI Number: 1366925778
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1032160
LAB Type Home Health Agency
Facility Name ABSOLUTE HOME HEALTH AGENCY INC
Street 1554 S SEPULVEDA BLVD #109
City LOS ANGELES
State CA
ZIP 90025
Phone 310 231-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Home Health Agency
Lab Director KAMRAN KAMRAVA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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