05D2290226 CLIA NUMBER - ANTELOPE VALLEY HOME TRAINING

Laboratory Demographics

CLIA Number: 05D2290226

Facility Name: ANTELOPE VALLEY HOME TRAINING

Facility Address:
44151 15TH STREET W
LANCASTER, CA
ZIP 93534
Get Directions

Facility Phone Number: 615 341-6282

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1255016747

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2290226
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ANTELOPE VALLEY HOME TRAINING
Street	44151 15TH STREET W
City	LANCASTER
State	CA
ZIP	93534
Phone	615 341-6282
CertificateType	4
CertificateEffectiveDate	9/21/2023
CertificateExpirationDate	9/20/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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