05D2067079 CLIA NUMBER - HEALTHY LIVING AT HOME- FRESNO LLC

Laboratory Demographics

  • CLIA Code: 05D2067079
  • Facility Name: HEALTHY LIVING AT HOME- FRESNO LLC
  • Facility Address: 1318 E SHAW AVE STE 100
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 888 983-4131
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHERI L. TASK MD
  • NPI Number: 1275873622
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2067079
LAB Type Home Health Agency
Facility Name HEALTHY LIVING AT HOME- FRESNO LLC
Street 1318 E SHAW AVE STE 100
City FRESNO
State CA
ZIP 93710
Phone 888 983-4131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Home Health Agency
Lab Director SHERI L. TASK MD

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