05D2044647 CLIA NUMBER - PREMIER HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 05D2044647
  • Facility Name: PREMIER HEALTHCARE SERVICES LLC
  • Facility Address: 1730 W CAMERON AVE STE 120
    WEST COVINA, CA
    ZIP 91790
  • Facility Phone: 626 337-3444
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER MD
  • NPI Number: 1104058122
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2044647
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES LLC
Street 1730 W CAMERON AVE STE 120
City WEST COVINA
State CA
ZIP 91790
Phone 626 337-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Home Health Agency
Lab Director ROSS MILLER MD

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