05D2055806 CLIA NUMBER - DESTINY HOME HEALTH SERVICES

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Laboratory Demographics

CLIA Number: 05D2055806

Facility Name: DESTINY HOME HEALTH SERVICES

Facility Address:
410 E FLORENCE AVE
INGLEWOOD, CA
ZIP 90301
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Facility Phone Number: (320) 672-2555

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1467079624

Taxonomy: 251G00000X - Hospice Care, Community Based

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

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This page was last updated on: 5/11/2023