05D2094932 CLIA NUMBER - STAR HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2094932
  • Facility Name: STAR HOME HEALTH
  • Facility Address: 5958 VINELAND AVE STE K
    NORTH HOLLYWOOD, CA
    ZIP 91601
  • Facility Phone: 818 821-6854
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RAYMOND DORIO, MD
  • NPI Number: 1396082004
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2094932
LAB Type Home Health Agency
Facility Name STAR HOME HEALTH
Street 5958 VINELAND AVE STE K
City NORTH HOLLYWOOD
State CA
ZIP 91601
Phone 818 821-6854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Home Health Agency
Lab Director RAYMOND DORIO, MD

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