05D0931027 CLIA NUMBER - MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 05D0931027

Facility Name: MAXIM HEALTHCARE SERVICES INC

Facility Address:
801 CORPORATE CENTER DR STE 210
POMONA, CA
ZIP 91768
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Facility Phone Number: 626 962-6453

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1679095434

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D0931027
LAB Type	Home Health Agency
Facility Name	MAXIM HEALTHCARE SERVICES INC
Street	801 CORPORATE CENTER DR STE 210
City	POMONA
State	CA
ZIP	91768
Phone	626 962-6453
CertificateType	4
CertificateEffectiveDate	7/21/2023
CertificateExpirationDate	7/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024