05D2159604 CLIA NUMBER - NOBILIS HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D2159604
  • Facility Name: NOBILIS HOME HEALTH CARE
  • Facility Address: 206 N JACKSON ST STE 301
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 888 381-7181
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ELENA SPEKTOR
  • NPI Number: 1689039281
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2159604
LAB Type Home Health Agency
Facility Name NOBILIS HOME HEALTH CARE
Street 206 N JACKSON ST STE 301
City GLENDALE
State CA
ZIP 91206
Phone 888 381-7181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Home Health Agency
Lab Director ELENA SPEKTOR

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