05D1083830 CLIA NUMBER - ALPHA HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D1083830
  • Facility Name: ALPHA HOME HEALTH
  • Facility Address: 3333 CONCOURS ST BLDG 7 STE 7100
    ONTARIO, CA
    ZIP 91764
  • Facility Phone: 909 466-8200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHN PERIC
  • NPI Number: 1366777567
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1083830
LAB Type Home Health Agency
Facility Name ALPHA HOME HEALTH
Street 3333 CONCOURS ST BLDG 7 STE 7100
City ONTARIO
State CA
ZIP 91764
Phone 909 466-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Home Health Agency
Lab Director JOHN PERIC

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