05D2148674 CLIA NUMBER - ADVANTA CARE HOME HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2148674
  • Facility Name: ADVANTA CARE HOME HEALTH SERVICES INC
  • Facility Address: 3524 BREAKWATER AVE, STE #A-130
    HAYWARD, CA
    ZIP 94545
  • Facility Phone: 510 359-4556
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TYRONE SNIPES
  • NPI Number: 1689172223
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2148674
LAB Type Home Health Agency
Facility Name ADVANTA CARE HOME HEALTH SERVICES INC
Street 3524 BREAKWATER AVE, STE #A-130
City HAYWARD
State CA
ZIP 94545
Phone 510 359-4556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Home Health Agency
Lab Director TYRONE SNIPES

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This page was last updated on: 6/4/2025