05D1081118 CLIA NUMBER - LIFELINK HEALTH PROVIDERS INC

Laboratory Demographics

  • CLIA Code: 05D1081118
  • Facility Name: LIFELINK HEALTH PROVIDERS INC
  • Facility Address: 211 W FOOTHILL BLVD STE A
    GLENDORA, CA
    ZIP 91741
  • Facility Phone: 626 387-9650
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GAYLE MITCHELL MD
  • NPI Number: 1790980969
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1081118
LAB Type Home Health Agency
Facility Name LIFELINK HEALTH PROVIDERS INC
Street 211 W FOOTHILL BLVD STE A
City GLENDORA
State CA
ZIP 91741
Phone 626 387-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Home Health Agency
Lab Director GAYLE MITCHELL MD

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This page was last updated on: 6/4/2025