05D2295107 CLIA NUMBER - DIVERSITY HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 05D2295107
  • Facility Name: DIVERSITY HOME HEALTH, INC
  • Facility Address: 229 N CENTRAL AVE STE 402
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 396-5296
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VAHAN KOSHKARYAN
  • NPI Number: 1659979433
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2295107
LAB Type Home Health Agency
Facility Name DIVERSITY HOME HEALTH, INC
Street 229 N CENTRAL AVE STE 402
City GLENDALE
State CA
ZIP 91203
Phone 818 396-5296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Home Health Agency
Lab Director VAHAN KOSHKARYAN

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