05D2147564 CLIA NUMBER - HEALTHPEAK HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2147564
  • Facility Name: HEALTHPEAK HOME HEALTH INC
  • Facility Address: 7331 EL CAJON BLVD SUITE L
    LA MESA, CA
    ZIP 91941
  • Facility Phone: 619 888-3106
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VINCENT SOUN, MD
  • NPI Number: 1902183023
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2147564
LAB Type Home Health Agency
Facility Name HEALTHPEAK HOME HEALTH INC
Street 7331 EL CAJON BLVD SUITE L
City LA MESA
State CA
ZIP 91941
Phone 619 888-3106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Home Health Agency
Lab Director VINCENT SOUN, MD

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