05D2258766 CLIA NUMBER - LA COMFORT HOME CARE, INC

Laboratory Demographics

CLIA Number: 05D2258766

Facility Name: LA COMFORT HOME CARE, INC

Facility Address:
1864 E WASHINGTON BLVD STE 212
PASADENA, CA
ZIP 91104
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Facility Phone Number: 626 314-3527

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1043738156

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	05D2258766
LAB Type	Home Health Agency
Facility Name	LA COMFORT HOME CARE, INC
Street	1864 E WASHINGTON BLVD STE 212
City	PASADENA
State	CA
ZIP	91104
Phone	626 314-3527
CertificateType	4
CertificateEffectiveDate	4/26/2022
CertificateExpirationDate	4/25/2024
FacilityType	Waiver

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