05D2289406 CLIA NUMBER - REMEDIUM HOME HEALTH CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2289406
  • Facility Name: REMEDIUM HOME HEALTH CARE, INC.
  • Facility Address: 127 S BRAND BOULEVARD, # 331
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 900-9060
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARIA LOURDES DE LEON
  • NPI Number: 1649740937
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2289406
LAB Type Home Health Agency
Facility Name REMEDIUM HOME HEALTH CARE, INC.
Street 127 S BRAND BOULEVARD, # 331
City GLENDALE
State CA
ZIP 91204
Phone 818 900-9060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2023
Certificate Expiration Date 9/10/2025
Facility Type Home Health Agency
Lab Director MARIA LOURDES DE LEON

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This page was last updated on: 6/4/2025