05D2096167 CLIA NUMBER - SECOND WIND HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2096167
  • Facility Name: SECOND WIND HOME HEALTH INC
  • Facility Address: 2225 W COMMONWEALTH AVE STE 213
    ALHAMBRA, CA
    ZIP 91803
  • Facility Phone: 626 872-0262
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SIMON R. VALENCIA, MD
  • NPI Number: 1467861096
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2096167
LAB Type Home Health Agency
Facility Name SECOND WIND HOME HEALTH INC
Street 2225 W COMMONWEALTH AVE STE 213
City ALHAMBRA
State CA
ZIP 91803
Phone 626 872-0262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Home Health Agency
Lab Director SIMON R. VALENCIA, MD

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