05D2303754 CLIA NUMBER - PRIMEMED HOME HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2303754
  • Facility Name: PRIMEMED HOME HEALTH CARE, INC
  • Facility Address: 12440 FIRESTONE BLVD STE 2011
    NORWALK, CA
    ZIP 90650
  • Facility Phone: 562 204-6890
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALI HADADZ
  • NPI Number: 1134898844
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2303754
LAB Type Home Health Agency
Facility Name PRIMEMED HOME HEALTH CARE, INC
Street 12440 FIRESTONE BLVD STE 2011
City NORWALK
State CA
ZIP 90650
Phone 562 204-6890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Home Health Agency
Lab Director ALI HADADZ

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