05D2193537 CLIA NUMBER - INDIRA CARE HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2193537
  • Facility Name: INDIRA CARE HOME HEALTH
  • Facility Address: 2555 OCEAN AVE STE 205
    SAN FRANCISCO, CA
    ZIP 94132
  • Facility Phone: 415 466-6626
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CLAUDELL STEPHENS
  • NPI Number: 1881197051
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2193537
LAB Type Home Health Agency
Facility Name INDIRA CARE HOME HEALTH
Street 2555 OCEAN AVE STE 205
City SAN FRANCISCO
State CA
ZIP 94132
Phone 415 466-6626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Home Health Agency
Lab Director CLAUDELL STEPHENS

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