05D1106746 CLIA NUMBER - SANTA HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D1106746
  • Facility Name: SANTA HOME HEALTH CARE
  • Facility Address: 8281 MELROSE AVE STE 205
    LOS ANGELES, CA
    ZIP 90046
  • Facility Phone: 323 933-3656
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ILYA M. RACHMAN
  • NPI Number: 1730322884
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1106746
LAB Type Home Health Agency
Facility Name SANTA HOME HEALTH CARE
Street 8281 MELROSE AVE STE 205
City LOS ANGELES
State CA
ZIP 90046
Phone 323 933-3656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Home Health Agency
Lab Director ILYA M. RACHMAN

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This page was last updated on: 6/4/2025