05D1099058 CLIA NUMBER - PRIVILEGE HOME SERVICES, INC

Laboratory Demographics

  • CLIA Code: 05D1099058
  • Facility Name: PRIVILEGE HOME SERVICES, INC
  • Facility Address: 11395 183RD ST
    CERRITOS, CA
    ZIP 90703
  • Facility Phone: 818 468-0888
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROGER TRAN MD
  • NPI Number: 1679758403
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1099058
LAB Type Home Health Agency
Facility Name PRIVILEGE HOME SERVICES, INC
Street 11395 183RD ST
City CERRITOS
State CA
ZIP 90703
Phone 818 468-0888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Home Health Agency
Lab Director ROGER TRAN MD

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