05D2304203 CLIA NUMBER - CONCORD HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2304203
  • Facility Name: CONCORD HOME HEALTH
  • Facility Address: 3171 LOS FELIZ BLVD, STE 202A
    LOS ANGELES, CA
    ZIP 90039
  • Facility Phone: 747 444-4478
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: EDWARD KOCHARIAN
  • NPI Number: 1679156475
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2304203
LAB Type Home Health Agency
Facility Name CONCORD HOME HEALTH
Street 3171 LOS FELIZ BLVD, STE 202A
City LOS ANGELES
State CA
ZIP 90039
Phone 747 444-4478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Home Health Agency
Lab Director EDWARD KOCHARIAN

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