05D1046485 CLIA NUMBER - TOTAL CARE HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 05D1046485
  • Facility Name: TOTAL CARE HOME HEALTH AGENCY
  • Facility Address: 7130 MAGNOLIA AVE, SUITE A
    RIVERSIDE, CA
    ZIP 92504
  • Facility Phone: 951 788-0202
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GABRIEL GOREN
  • NPI Number: 1710913132
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1046485
LAB Type Home Health Agency
Facility Name TOTAL CARE HOME HEALTH AGENCY
Street 7130 MAGNOLIA AVE, SUITE A
City RIVERSIDE
State CA
ZIP 92504
Phone 951 788-0202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Home Health Agency
Lab Director GABRIEL GOREN

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