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05D2286740 CLIA NUMBER - MARQUIS HOME CARE, INC.

Laboratory Demographics

CLIA Number: 05D2286740

Facility Name: MARQUIS HOME CARE, INC.

Facility Address:
3131 FOOTHILL BLVD SUITE F
LA CRESCENTA, CA
ZIP 91214
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Facility Phone Number: 818 949-8001

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1184198897

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 05D2286740
LAB Type Home Health Agency
Facility Name MARQUIS HOME CARE, INC.
Street 3131 FOOTHILL BLVD SUITE F
City LA CRESCENTA
State CA
ZIP 91214
Phone 818 949-8001
CertificateType 4
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Waiver

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