05D2101519 CLIA NUMBER - ALL SUPPORT AT HOME LLC

Laboratory Demographics

  • CLIA Code: 05D2101519
  • Facility Name: ALL SUPPORT AT HOME LLC
  • Facility Address: 1038 LEIGH AVE STE 216
    SAN JOSE, CA
    ZIP 95126
  • Facility Phone: 408 971-1997
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ABDELSALAM MOGASBE, MD
  • NPI Number: 1205218732
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2101519
LAB Type Home Health Agency
Facility Name ALL SUPPORT AT HOME LLC
Street 1038 LEIGH AVE STE 216
City SAN JOSE
State CA
ZIP 95126
Phone 408 971-1997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Home Health Agency
Lab Director ABDELSALAM MOGASBE, MD

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