05D2169059 CLIA NUMBER - AIRMID HOME HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2169059
  • Facility Name: AIRMID HOME HEALTH CARE, INC
  • Facility Address: 412 WEST BORADWAY, SUITE 208
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 696-2800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MEHDI MANZARI
  • NPI Number: 1568951903
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2169059
LAB Type Home Health Agency
Facility Name AIRMID HOME HEALTH CARE, INC
Street 412 WEST BORADWAY, SUITE 208
City GLENDALE
State CA
ZIP 91204
Phone 818 696-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2023
Certificate Expiration Date 7/14/2025
Facility Type Home Health Agency
Lab Director MEHDI MANZARI

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This page was last updated on: 6/4/2025