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05D1090593 CLIA NUMBER - DEPENDABLE HOME CARE SERVICES INC

Laboratory Demographics

CLIA Number: 05D1090593

Facility Name: DEPENDABLE HOME CARE SERVICES INC

Facility Address:
5924 E LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93063
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Facility Phone Number: 805 582-0138

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1093961823

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 05D1090593
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DEPENDABLE HOME CARE SERVICES INC
Street 5924 E LOS ANGELES AVE
City SIMI VALLEY
State CA
ZIP 93063
Phone 805 582-0138
CertificateType 4
CertificateEffectiveDate 10/15/2022
CertificateExpirationDate 10/14/2024
FacilityType Waiver

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