05D2266712 CLIA NUMBER - FAMILY HOME CARE-IRVINE

Laboratory Demographics

CLIA Number: 05D2266712

Facility Name: FAMILY HOME CARE-IRVINE

Facility Address:
15615 ALTON PRKWY STE 450
IRVINE, CA
ZIP 92618
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Facility Phone Number: 805 458-0002

Facility Type: Other - GOVT EMPLOYMENT

Certificate Type: Waiver

NPI Number: 1952986317

Taxonomy: 374U00000X - Home Health Aide
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2266712
LAB Type	Other - GOVT EMPLOYMENT
Facility Name	FAMILY HOME CARE-IRVINE
Street	15615 ALTON PRKWY STE 450
City	IRVINE
State	CA
ZIP	92618
Phone	805 458-0002
CertificateType	4
CertificateEffectiveDate	8/15/2022
CertificateExpirationDate	8/14/2024
FacilityType	Waiver

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