05D2064595 CLIA NUMBER - PREMIER HEALTHCARE SERVICES, LLC DBA AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D2064595
  • Facility Name: PREMIER HEALTHCARE SERVICES, LLC DBA AVEANNA HEALTHCARE
  • Facility Address: 40015 SIERRA HWY STE B-180
    PALMDALE, CA
    ZIP 93550
  • Facility Phone: 661 237-3875
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER, MD
  • NPI Number: 1811238967
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2064595
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES, LLC DBA AVEANNA HEALTHCARE
Street 40015 SIERRA HWY STE B-180
City PALMDALE
State CA
ZIP 93550
Phone 661 237-3875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Home Health Agency
Lab Director ROSS MILLER, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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