05D1063837 CLIA NUMBER - GOODWILL PLUS INC

Laboratory Demographics

  • CLIA Code: 05D1063837
  • Facility Name: GOODWILL PLUS INC
  • Facility Address: 233 E POMONA BLVD STE B
    MONTEREY PARK, CA
    ZIP 91755
  • Facility Phone: 323 725-7620
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OSCAR L. CHIEN
  • NPI Number: 1396809232
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1063837
LAB Type Home Health Agency
Facility Name GOODWILL PLUS INC
Street 233 E POMONA BLVD STE B
City MONTEREY PARK
State CA
ZIP 91755
Phone 323 725-7620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Home Health Agency
Lab Director OSCAR L. CHIEN

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