05D1061664 CLIA NUMBER - SPECIALIZED HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D1061664
  • Facility Name: SPECIALIZED HOME HEALTH SERVICES
  • Facility Address: 2755 BRISTOL STREET SUITE 115
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 949 543-1300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAMEEL HOURANI
  • NPI Number: 1255829503
  • Taxonomy: 2251X0800X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D1061664
LAB Type Home Health Agency
Facility Name SPECIALIZED HOME HEALTH SERVICES
Street 2755 BRISTOL STREET SUITE 115
City COSTA MESA
State CA
ZIP 92626
Phone 949 543-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Home Health Agency
Lab Director JAMEEL HOURANI

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