05D1098705 CLIA NUMBER - AFFINITY HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 05D1098705
  • Facility Name: AFFINITY HOME HEALTH, INC
  • Facility Address: 5767 UPLANDER WAY STE 210
    CULVER CITY, CA
    ZIP 90230
  • Facility Phone: 310 463-1714
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LUDMILA W. AFONICHEVA
  • NPI Number: 1043404742
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1098705
LAB Type Home Health Agency
Facility Name AFFINITY HOME HEALTH, INC
Street 5767 UPLANDER WAY STE 210
City CULVER CITY
State CA
ZIP 90230
Phone 310 463-1714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Home Health Agency
Lab Director LUDMILA W. AFONICHEVA

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