05D2301660 CLIA NUMBER - LIVEWELL HOME HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 05D2301660
  • Facility Name: LIVEWELL HOME HEALTH CARE LLC
  • Facility Address: 5525 ASSEMBLY CT. SUITE C
    SACRAMENTO, CA
    ZIP 95821
  • Facility Phone: 916 822-4722
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHISOM OFODIRE
  • NPI Number: 1972239259
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 05D2301660
LAB Type Home Health Agency
Facility Name LIVEWELL HOME HEALTH CARE LLC
Street 5525 ASSEMBLY CT. SUITE C
City SACRAMENTO
State CA
ZIP 95821
Phone 916 822-4722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Home Health Agency
Lab Director CHISOM OFODIRE

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