05D2174348 CLIA NUMBER - EDEN HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D2174348
  • Facility Name: EDEN HOME CARE INC
  • Facility Address: 3333 SOUTH BREA CANYON ROAD SUITE 107
    DIAMOND BAR, CA
    ZIP 91765
  • Facility Phone: 213 596-9119
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TRACY ROBERT
  • NPI Number: 1285134072
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2174348
LAB Type Home Health Agency
Facility Name EDEN HOME CARE INC
Street 3333 SOUTH BREA CANYON ROAD SUITE 107
City DIAMOND BAR
State CA
ZIP 91765
Phone 213 596-9119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Home Health Agency
Lab Director TRACY ROBERT

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