05D2043510 CLIA NUMBER - A&C HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 05D2043510
  • Facility Name: A&C HEALTHCARE INC
  • Facility Address: 20465 E VALLEY BLVD
    WALNUT, CA
    ZIP 91789
  • Facility Phone: 909 598-3725
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ERIC M. TATE
  • NPI Number: 1386911337
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2043510
LAB Type Home Health Agency
Facility Name A&C HEALTHCARE INC
Street 20465 E VALLEY BLVD
City WALNUT
State CA
ZIP 91789
Phone 909 598-3725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Home Health Agency
Lab Director ERIC M. TATE

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