05D0877199 CLIA NUMBER - HOME CARE NETWORK, INC LONG BEACH HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D0877199
  • Facility Name: HOME CARE NETWORK, INC LONG BEACH HEALTH CARE
  • Facility Address: 3505 LONG BEACH BOULEVARD SUITE 2-B
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 290-8181
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JACK C. WU MD
  • NPI Number: 1730145491
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0877199
LAB Type Home Health Agency
Facility Name HOME CARE NETWORK, INC LONG BEACH HEALTH CARE
Street 3505 LONG BEACH BOULEVARD SUITE 2-B
City LONG BEACH
State CA
ZIP 90807
Phone 562 290-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Home Health Agency
Lab Director JACK C. WU MD

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