05D2094900 CLIA NUMBER - HEALTHY LIVING AT HOME- PALM DESERT LLC

Laboratory Demographics

  • CLIA Code: 05D2094900
  • Facility Name: HEALTHY LIVING AT HOME- PALM DESERT LLC
  • Facility Address: 36953 COOK ST, STE 102
    PALM DESERT, CA
    ZIP 92211
  • Facility Phone: 760 834-8501
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHANDAN CHEEMA
  • NPI Number: 1265848683
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2094900
LAB Type Home Health Agency
Facility Name HEALTHY LIVING AT HOME- PALM DESERT LLC
Street 36953 COOK ST, STE 102
City PALM DESERT
State CA
ZIP 92211
Phone 760 834-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2023
Certificate Expiration Date 4/26/2025
Facility Type Home Health Agency
Lab Director CHANDAN CHEEMA

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