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05D2006388 CLIA NUMBER - BRIGHTSTAR HEALTHCARE

Laboratory Demographics

CLIA Number: 05D2006388

Facility Name: BRIGHTSTAR HEALTHCARE

Facility Address:
150 SHORELINE HWY STE B28
MILL VALLEY, CA
ZIP 94941
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Facility Phone Number: 415 332-3300

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1457584898

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D2006388
LAB Type Home Health Agency
Facility Name BRIGHTSTAR HEALTHCARE
Street 150 SHORELINE HWY STE B28
City MILL VALLEY
State CA
ZIP 94941
Phone 415 332-3300
CertificateType 4
CertificateEffectiveDate 4/20/2024
CertificateExpirationDate 4/19/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024