05D2105062 CLIA NUMBER - CRYSTAL ROSE HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 05D2105062

Facility Name: CRYSTAL ROSE HOME HEALTH CARE INC

Facility Address:
44841 DATE AVE
LANCASTER, CA
ZIP 93534
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Facility Phone Number: 661 949-8877

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1659769438

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D2105062
LAB Type	Home Health Agency
Facility Name	CRYSTAL ROSE HOME HEALTH CARE INC
Street	44841 DATE AVE
City	LANCASTER
State	CA
ZIP	93534
Phone	661 949-8877
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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