05D2057432 CLIA NUMBER - Premier Healthcare Services, Llc

Laboratory Demographics

CLIA Number: 05D2057432

Facility Name: Premier Healthcare Services, Llc

Facility Address:
6133 Bristol Pkwy Ste 140,
Culver City, CA
ZIP 90230
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Facility Phone Number: (310) 395-6688

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1437400165

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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 3103956688

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This page was last updated on: 5/19/2019