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05D1063767 CLIA NUMBER - HEALTHNET HOME CARE SERVICES INC

Laboratory Demographics

CLIA Number: 05D1063767

Facility Name: HEALTHNET HOME CARE SERVICES INC

Facility Address:
2025 N GLENOAKS BLVD STE 203
BURBANK, CA
ZIP 91504
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Facility Phone Number: 818 846-8483

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1891997466

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D1063767
LAB Type Home Health Agency
Facility Name HEALTHNET HOME CARE SERVICES INC
Street 2025 N GLENOAKS BLVD STE 203
City BURBANK
State CA
ZIP 91504
Phone 818 846-8483
CertificateType 4
CertificateEffectiveDate 1/22/2023
CertificateExpirationDate 1/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024