05D2291718 CLIA NUMBER - SIERRA HOME HEALTH CARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2291718
  • Facility Name: SIERRA HOME HEALTH CARE SERVICES INC
  • Facility Address: 2064 MARENGO ST
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 323 222-1235
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BYRON FLORES
  • NPI Number: 1245926997
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 05D2291718
LAB Type Home Health Agency
Facility Name SIERRA HOME HEALTH CARE SERVICES INC
Street 2064 MARENGO ST
City LOS ANGELES
State CA
ZIP 90033
Phone 323 222-1235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Home Health Agency
Lab Director BYRON FLORES

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