05D1063014 CLIA NUMBER - APEX HOME HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 05D1063014
  • Facility Name: APEX HOME HEALTH CARE, INC
  • Facility Address: 1619 1/2 VICTORY BLVD
    GLENDALE, CA
    ZIP 91201
  • Facility Phone: 818 500-7167
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HELEN ROSTAMLOO, MD
  • NPI Number: 1609066067
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D1063014
LAB Type Home Health Agency
Facility Name APEX HOME HEALTH CARE, INC
Street 1619 1/2 VICTORY BLVD
City GLENDALE
State CA
ZIP 91201
Phone 818 500-7167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Home Health Agency
Lab Director HELEN ROSTAMLOO, MD

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