05D2313110 CLIA NUMBER - DAISY HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2313110
  • Facility Name: DAISY HOME HEALTH
  • Facility Address: 204 E CHEVY CHASE DR STE 5
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 323 999-7205
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SVETLANA GORELIKOVA
  • NPI Number: 1013687151
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2313110
LAB Type Home Health Agency
Facility Name DAISY HOME HEALTH
Street 204 E CHEVY CHASE DR STE 5
City GLENDALE
State CA
ZIP 91205
Phone 323 999-7205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Home Health Agency
Lab Director SVETLANA GORELIKOVA

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