05D2065271 CLIA NUMBER - PREMIER HEALTHCARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 05D2065271
  • Facility Name: PREMIER HEALTHCARE SERVICES, LLC
  • Facility Address: 200 S MAIN ST, STE 120
    CORONA, CA
    ZIP 92882
  • Facility Phone: 951 735-4000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER MD
  • NPI Number: 1942644596
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2065271
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES, LLC
Street 200 S MAIN ST, STE 120
City CORONA
State CA
ZIP 92882
Phone 951 735-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Home Health Agency
Lab Director ROSS MILLER MD

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