05D2279018 CLIA NUMBER - ELITE INFUSION CARE, LLC

Laboratory Demographics

  • CLIA Code: 05D2279018
  • Facility Name: ELITE INFUSION CARE, LLC
  • Facility Address: 1440 N. HARBOR BLVD SUITE 916
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 714 519-6993
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SABA HAQ
  • NPI Number: 1760148456
  • Taxonomy: 251F00000X - Home Infusion

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CLIA Record

Field Name Field Value
CLIA Number 05D2279018
LAB Type Home Health Agency
Facility Name ELITE INFUSION CARE, LLC
Street 1440 N. HARBOR BLVD SUITE 916
City FULLERTON
State CA
ZIP 92835
Phone 714 519-6993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Home Health Agency
Lab Director SABA HAQ

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