05D2216956 CLIA NUMBER - CALIFORNIA PROFESSIONAL CARE

Laboratory Demographics

  • CLIA Code: 05D2216956
  • Facility Name: CALIFORNIA PROFESSIONAL CARE
  • Facility Address: 4959 PALO VERDE ST STE 206C-1
    MONTCLAIR, CA
    ZIP 91763
  • Facility Phone: 909 624-3339
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HEMALATHA PAREKH
  • NPI Number: 1811542194
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2216956
LAB Type Home Health Agency
Facility Name CALIFORNIA PROFESSIONAL CARE
Street 4959 PALO VERDE ST STE 206C-1
City MONTCLAIR
State CA
ZIP 91763
Phone 909 624-3339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Home Health Agency
Lab Director HEMALATHA PAREKH

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