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05D2026443 CLIA NUMBER - AVERY HOME HEALTH AGENCY, INC

Laboratory Demographics

CLIA Number: 05D2026443

Facility Name: AVERY HOME HEALTH AGENCY, INC

Facility Address:
2781 SATURN ST STE A
BREA, CA
ZIP 92821
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Facility Phone Number: 714 931-5947

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1164746038

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 05D2026443
LAB Type Home Health Agency
Facility Name AVERY HOME HEALTH AGENCY, INC
Street 2781 SATURN ST STE A
City BREA
State CA
ZIP 92821
Phone 714 931-5947
CertificateType 4
CertificateEffectiveDate 6/30/2023
CertificateExpirationDate 6/29/2025
FacilityType Waiver

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