05D2177938 CLIA NUMBER - ATHENA HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D2177938
  • Facility Name: ATHENA HOME HEALTH CARE
  • Facility Address: 7636 NORTH INGRAM AVE SUITE 107
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 446-0900
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SOGHOMONIAN K. ARA
  • NPI Number: 1871081471
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2177938
LAB Type Home Health Agency
Facility Name ATHENA HOME HEALTH CARE
Street 7636 NORTH INGRAM AVE SUITE 107
City FRESNO
State CA
ZIP 93711
Phone 559 446-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Home Health Agency
Lab Director SOGHOMONIAN K. ARA

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