05D1035063 CLIA NUMBER - PURITY HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D1035063
  • Facility Name: PURITY HOME HEALTH SERVICES
  • Facility Address: 12631 E IMPERIAL HWY BLDG D DTE 118
    SANTA FE SPRINGS, CA
    ZIP 90670
  • Facility Phone: 562 863-5652
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ESTRELLA AGUINALDO MD
  • NPI Number: 1821214032
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1035063
LAB Type Home Health Agency
Facility Name PURITY HOME HEALTH SERVICES
Street 12631 E IMPERIAL HWY BLDG D DTE 118
City SANTA FE SPRINGS
State CA
ZIP 90670
Phone 562 863-5652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Home Health Agency
Lab Director ESTRELLA AGUINALDO MD

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