05D2303913 CLIA NUMBER - STANDARD HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D2303913
  • Facility Name: STANDARD HOME CARE INC
  • Facility Address: 230 N MARYLAND AVE UNIT 103
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 747 302-2010
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VAHAN KOSHKARYAN
  • NPI Number: 1174197180
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2303913
LAB Type Home Health Agency
Facility Name STANDARD HOME CARE INC
Street 230 N MARYLAND AVE UNIT 103
City GLENDALE
State CA
ZIP 91206
Phone 747 302-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Home Health Agency
Lab Director VAHAN KOSHKARYAN

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