05D1009191 CLIA NUMBER - JAR-CV ENTERPRISES INC DBA JOY HEALTH CARE SERVICES

Laboratory Demographics

  • CLIA Code: 05D1009191
  • Facility Name: JAR-CV ENTERPRISES INC DBA JOY HEALTH CARE SERVICES
  • Facility Address: 12362 BEACH BLVD SUITE 5
    STANTON, CA
    ZIP 90680
  • Facility Phone: 951 352-4400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. DOMINGO BARRIENTOS
  • NPI Number: 1821091380
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1009191
LAB Type Home Health Agency
Facility Name JAR-CV ENTERPRISES INC DBA JOY HEALTH CARE SERVICES
Street 12362 BEACH BLVD SUITE 5
City STANTON
State CA
ZIP 90680
Phone 951 352-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Home Health Agency
Lab Director DR. DOMINGO BARRIENTOS

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