05D2289149 CLIA NUMBER - ANGELS VISIT HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2289149
  • Facility Name: ANGELS VISIT HOME HEALTH
  • Facility Address: 21006 DEVONSHIRE ST SUITE 205
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 747 224-0856
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GARRY M. GUCE
  • NPI Number: 1669070702
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2289149
LAB Type Home Health Agency
Facility Name ANGELS VISIT HOME HEALTH
Street 21006 DEVONSHIRE ST SUITE 205
City CHATSWORTH
State CA
ZIP 91311
Phone 747 224-0856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Home Health Agency
Lab Director GARRY M. GUCE

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