05D2292405 CLIA NUMBER - HOME HEALTH 101 INC.

Laboratory Demographics

  • CLIA Code: 05D2292405
  • Facility Name: HOME HEALTH 101 INC.
  • Facility Address: 3357 CAHUENGA BLVD W, SUITE 26
    LOS ANGELES, CA
    ZIP 90068
  • Facility Phone: 323 613-8088
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BERJ DERMENDJIAN
  • NPI Number: 1447896519
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2292405
LAB Type Home Health Agency
Facility Name HOME HEALTH 101 INC.
Street 3357 CAHUENGA BLVD W, SUITE 26
City LOS ANGELES
State CA
ZIP 90068
Phone 323 613-8088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Home Health Agency
Lab Director BERJ DERMENDJIAN

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