05D2060278 CLIA NUMBER - VIDA CARE HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2060278
  • Facility Name: VIDA CARE HOME HEALTH
  • Facility Address: 5100 N SIXTH ST STE 112
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 248-0277
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. ARA K. SOGHOMONIAN
  • NPI Number: 1609115021
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2060278
LAB Type Home Health Agency
Facility Name VIDA CARE HOME HEALTH
Street 5100 N SIXTH ST STE 112
City FRESNO
State CA
ZIP 93710
Phone 559 248-0277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Home Health Agency
Lab Director DR. ARA K. SOGHOMONIAN

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