05D2192377 CLIA NUMBER - CROWN HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D2192377
  • Facility Name: CROWN HOME CARE INC
  • Facility Address: 501 WEST GLENOAKS BLVD SUITE 202A
    GLENDALE, CA
    ZIP 91202
  • Facility Phone: 818 696-9229
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO GIL
  • NPI Number: 1528540754
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2192377
LAB Type Home Health Agency
Facility Name CROWN HOME CARE INC
Street 501 WEST GLENOAKS BLVD SUITE 202A
City GLENDALE
State CA
ZIP 91202
Phone 818 696-9229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Home Health Agency
Lab Director ALEJANDRO GIL

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