05D1047132 CLIA NUMBER - SALUS HOME HEALTH AND HOSPICE, LLC DBA SALUS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D1047132
  • Facility Name: SALUS HOME HEALTH AND HOSPICE, LLC DBA SALUS HOME HEALTH
  • Facility Address: 630 ROOSEVELT SUITE A
    IRVINE, CA
    ZIP 92620
  • Facility Phone: 949 390-7308
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KASRA MORSHEDIZADEH
  • NPI Number: 1245404573
  • Taxonomy: 253Z00000X - In Home Supportive Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1047132
LAB Type Home Health Agency
Facility Name SALUS HOME HEALTH AND HOSPICE, LLC DBA SALUS HOME HEALTH
Street 630 ROOSEVELT SUITE A
City IRVINE
State CA
ZIP 92620
Phone 949 390-7308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Home Health Agency
Lab Director KASRA MORSHEDIZADEH

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