05D2055676 CLIA NUMBER - PURPOSE DRIVEN HOME HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 05D2055676
  • Facility Name: PURPOSE DRIVEN HOME HEALTH, LLC
  • Facility Address: 11901 BOLTHOUSE DR, STE 100
    BAKERSFIELD, CA
    ZIP 93311
  • Facility Phone: 661 412-9730
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FLORENCIO PANGILINAN
  • NPI Number: 1336484419
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2055676
LAB Type Home Health Agency
Facility Name PURPOSE DRIVEN HOME HEALTH, LLC
Street 11901 BOLTHOUSE DR, STE 100
City BAKERSFIELD
State CA
ZIP 93311
Phone 661 412-9730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Home Health Agency
Lab Director FLORENCIO PANGILINAN

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