05D2123525 CLIA NUMBER - GIMAG CORP. DBA GIMAG HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 05D2123525

Facility Name: GIMAG CORP. DBA GIMAG HOME HEALTH CARE

Facility Address:
4740 FIRST ST STE 207
LIVERMORE, CA
ZIP 94551
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Facility Phone Number: 925 453-6169

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1497989776

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	05D2123525
LAB Type	Home Health Agency
Facility Name	GIMAG CORP. DBA GIMAG HOME HEALTH CARE
Street	4740 FIRST ST STE 207
City	LIVERMORE
State	CA
ZIP	94551
Phone	925 453-6169
CertificateType	4
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	Waiver

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