05D2055806 CLIA NUMBER - DESTINY HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2055806
  • Facility Name: DESTINY HOME HEALTH SERVICES
  • Facility Address: 410 E FLORENCE AVE
    INGLEWOOD, CA
    ZIP 90301
  • Facility Phone: 320 672-2555
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MIGNON MARQUINA
  • NPI Number: 1467079624
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2055806
LAB Type Home Health Agency
Facility Name DESTINY HOME HEALTH SERVICES
Street 410 E FLORENCE AVE
City INGLEWOOD
State CA
ZIP 90301
Phone 320 672-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Home Health Agency
Lab Director MIGNON MARQUINA

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