05D2043949 CLIA NUMBER - CALIFORNIA HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 05D2043949
  • Facility Name: CALIFORNIA HOME HEALTH AGENCY
  • Facility Address: 11860 MAGNOLIA AVE STE J
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 352-2300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: XINKE CHEN
  • NPI Number: 1922477975
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2043949
LAB Type Home Health Agency
Facility Name CALIFORNIA HOME HEALTH AGENCY
Street 11860 MAGNOLIA AVE STE J
City RIVERSIDE
State CA
ZIP 92503
Phone 951 352-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Home Health Agency
Lab Director XINKE CHEN

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