05D2188434 CLIA NUMBER - INTERIM HEALTHCARE-HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2188434
  • Facility Name: INTERIM HEALTHCARE-HOME HEALTH
  • Facility Address: 2355 GOLD MEADOW WAY, STE 250
    GOLD RIVER, CA
    ZIP 95670
  • Facility Phone: 916 486-8181
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KARANJIT SINGH BASRAI
  • NPI Number: 1801838115
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2188434
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE-HOME HEALTH
Street 2355 GOLD MEADOW WAY, STE 250
City GOLD RIVER
State CA
ZIP 95670
Phone 916 486-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Home Health Agency
Lab Director KARANJIT SINGH BASRAI

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