05D1098779 CLIA NUMBER - VERDUGO HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 05D1098779
  • Facility Name: VERDUGO HOME HEALTH, INC
  • Facility Address: 4170 VERDUGO ROAD, SUITE C
    LOS ANGELES, CA
    ZIP 90065
  • Facility Phone: 323 257-5115
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANTONIO ZAMORANO
  • NPI Number: 1902993140
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1098779
LAB Type Home Health Agency
Facility Name VERDUGO HOME HEALTH, INC
Street 4170 VERDUGO ROAD, SUITE C
City LOS ANGELES
State CA
ZIP 90065
Phone 323 257-5115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Home Health Agency
Lab Director ANTONIO ZAMORANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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