05D1097033 CLIA NUMBER - PREMIER HEALTHCARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 05D1097033
  • Facility Name: PREMIER HEALTHCARE SERVICES, LLC
  • Facility Address: 2020 CAMINO DEL RIO NORTH STE 600
    SAN DIEGO, CA
    ZIP 92108
  • Facility Phone: 619 574-6744
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER, MD
  • NPI Number: 1437385010
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1097033
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES, LLC
Street 2020 CAMINO DEL RIO NORTH STE 600
City SAN DIEGO
State CA
ZIP 92108
Phone 619 574-6744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Home Health Agency
Lab Director ROSS MILLER, MD

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