05D1107743 CLIA NUMBER - MERIDIAN HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D1107743
  • Facility Name: MERIDIAN HOME HEALTH
  • Facility Address: 3900 NEWPARK MALL RD STE 209
    NEWARK, CA
    ZIP 94560
  • Facility Phone: 510 793-9255
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GERALY MYINT MD
  • NPI Number: 1699008052
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1107743
LAB Type Home Health Agency
Facility Name MERIDIAN HOME HEALTH
Street 3900 NEWPARK MALL RD STE 209
City NEWARK
State CA
ZIP 94560
Phone 510 793-9255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Home Health Agency
Lab Director GERALY MYINT MD

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