05D2260015 CLIA NUMBER - BROOKSHIRE HOME TRAINING

Laboratory Demographics

CLIA Number: 05D2260015

Facility Name: BROOKSHIRE HOME TRAINING

Facility Address:
8333 IOWA STREET, STE 200
DOWNEY, CA
ZIP 90241
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Facility Phone Number: 562 923-0014

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1003952037

Taxonomy: 261QC1800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2260015
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BROOKSHIRE HOME TRAINING
Street	8333 IOWA STREET, STE 200
City	DOWNEY
State	CA
ZIP	90241
Phone	562 923-0014
CertificateType	4
CertificateEffectiveDate	5/13/2024
CertificateExpirationDate	5/12/2026
FacilityType	Waiver

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