05D2057432 CLIA NUMBER - PREMIER HEALTHCARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 05D2057432
  • Facility Name: PREMIER HEALTHCARE SERVICES, LLC
  • Facility Address: 6133 BRISTOL PKWY STE 140
    CULVER CITY, CA
    ZIP 90230
  • Facility Phone: 310 395-6688
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER, MD
  • NPI Number: 1437400165
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2057432
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES, LLC
Street 6133 BRISTOL PKWY STE 140
City CULVER CITY
State CA
ZIP 90230
Phone 310 395-6688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2023
Certificate Expiration Date 4/16/2025
Facility Type Home Health Agency
Lab Director ROSS MILLER, MD

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This page was last updated on: 3/20/2025