05D0875391 CLIA NUMBER - PEC HEALTHCARE - GARDEN GROVE

Laboratory Demographics

  • CLIA Code: 05D0875391
  • Facility Name: PEC HEALTHCARE - GARDEN GROVE
  • Facility Address: 10507 GARDEN GROVE BOULEVARD
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 689-2300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HARESH S. JHANGIANI MD
  • NPI Number: 1558369603
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0875391
LAB Type Home Health Agency
Facility Name PEC HEALTHCARE - GARDEN GROVE
Street 10507 GARDEN GROVE BOULEVARD
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 689-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Home Health Agency
Lab Director HARESH S. JHANGIANI MD

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