05D2257710 CLIA NUMBER - AFFECTION HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2257710
  • Facility Name: AFFECTION HOME HEALTH INC
  • Facility Address: 1112 OCEAN DRIVE SUITE #102A
    MANHATTAN BEACH, CA
    ZIP 90266
  • Facility Phone: 310 307-5750
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SAMUEL SMITH
  • NPI Number: 1295317162
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2257710
LAB Type Home Health Agency
Facility Name AFFECTION HOME HEALTH INC
Street 1112 OCEAN DRIVE SUITE #102A
City MANHATTAN BEACH
State CA
ZIP 90266
Phone 310 307-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Home Health Agency
Lab Director SAMUEL SMITH

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