Healther Providers Data Logo

05D2195647 CLIA NUMBER - CARE AM LLC

Laboratory Demographics

CLIA Number: 05D2195647

Facility Name: CARE AM LLC

Facility Address:
600 W BROADWAY STE 310
GLENDALE, CA
ZIP 91204
Get Directions

Facility Phone Number: 818 217-7144

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1316508880

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 05D2195647
LAB Type Home Health Agency
Facility Name CARE AM LLC
Street 600 W BROADWAY STE 310
City GLENDALE
State CA
ZIP 91204
Phone 818 217-7144
CertificateType 4
CertificateEffectiveDate 10/11/2022
CertificateExpirationDate 10/10/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024