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05D2078671 CLIA NUMBER - HEALTHY LIVING AT HOME - EAST BAY, LLC.

Laboratory Demographics

CLIA Number: 05D2078671

Facility Name: HEALTHY LIVING AT HOME - EAST BAY, LLC.

Facility Address:
1320 WILLOW PASS RD STE 555
CONCORD, CA
ZIP 94520
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Facility Phone Number: 925 222-4230

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1538411632

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D2078671
LAB Type Home Health Agency
Facility Name HEALTHY LIVING AT HOME - EAST BAY, LLC.
Street 1320 WILLOW PASS RD STE 555
City CONCORD
State CA
ZIP 94520
Phone 925 222-4230
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024