05D1093626 CLIA NUMBER - PREMIER HEALTHCARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 05D1093626
  • Facility Name: PREMIER HEALTHCARE SERVICES, LLC
  • Facility Address: 625 THE CITY DR SOUTH STE 390
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 834-1442
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER MD
  • NPI Number: 1326292897
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1093626
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES, LLC
Street 625 THE CITY DR SOUTH STE 390
City ORANGE
State CA
ZIP 92868
Phone 714 834-1442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Home Health Agency
Lab Director ROSS MILLER MD

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