05D2078281 CLIA NUMBER - PREMIER HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 05D2078281
  • Facility Name: PREMIER HEALTHCARE SERVICES LLC
  • Facility Address: 12401 HESPERIA RD, STE 8
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 442 300-9788
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSS MILLER
  • NPI Number: 1295159366
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2078281
LAB Type Home Health Agency
Facility Name PREMIER HEALTHCARE SERVICES LLC
Street 12401 HESPERIA RD, STE 8
City VICTORVILLE
State CA
ZIP 92395
Phone 442 300-9788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Home Health Agency
Lab Director ROSS MILLER

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