05D2285815 CLIA NUMBER - HG HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D2285815
  • Facility Name: HG HOME CARE INC
  • Facility Address: 6422 BELLINGHAM AVE STE 207
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 818 851-6057
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DOMINGO C. BARRIENTOS
  • NPI Number: 1831423102
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2285815
LAB Type Home Health Agency
Facility Name HG HOME CARE INC
Street 6422 BELLINGHAM AVE STE 207
City NORTH HOLLYWOOD
State CA
ZIP 91606
Phone 818 851-6057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Home Health Agency
Lab Director DOMINGO C. BARRIENTOS

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