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05D2145497 CLIA NUMBER - QUANTUM HOME HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 05D2145497

Facility Name: QUANTUM HOME HEALTH SERVICES INC

Facility Address:
520 E. WILSON AVENUE STE 215
GLENDALE, CA
ZIP 91206
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Facility Phone Number: 818 847-7997

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1225499742

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D2145497
LAB Type Home Health Agency
Facility Name QUANTUM HOME HEALTH SERVICES INC
Street 520 E. WILSON AVENUE STE 215
City GLENDALE
State CA
ZIP 91206
Phone 818 847-7997
CertificateType 4
CertificateEffectiveDate 3/8/2024
CertificateExpirationDate 3/7/2026
FacilityType Waiver

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