05D2021423 CLIA NUMBER - AMAX CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 05D2021423
  • Facility Name: AMAX CARE SERVICES, INC
  • Facility Address: 936 CRENSHAW BLVD STE 203
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 310 650-4553
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAMON RASKIN
  • NPI Number: 1154560654
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2021423
LAB Type Home Health Agency
Facility Name AMAX CARE SERVICES, INC
Street 936 CRENSHAW BLVD STE 203
City LOS ANGELES
State CA
ZIP 90019
Phone 310 650-4553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Home Health Agency
Lab Director DAMON RASKIN

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