05D2076737 CLIA NUMBER - COMPREHENSIVE HEALTH CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 05D2076737
  • Facility Name: COMPREHENSIVE HEALTH CARE SERVICES LLC
  • Facility Address: 512 E WILSON AVE STE 200-A
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 549-0683
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. LUCILLE RIDGILL
  • NPI Number: 1457780561
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2076737
LAB Type Home Health Agency
Facility Name COMPREHENSIVE HEALTH CARE SERVICES LLC
Street 512 E WILSON AVE STE 200-A
City GLENDALE
State CA
ZIP 91206
Phone 818 549-0683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Home Health Agency
Lab Director DR. LUCILLE RIDGILL

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