05D2094017 CLIA NUMBER - LUXOR CARE HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2094017
  • Facility Name: LUXOR CARE HOME HEALTH SERVICES
  • Facility Address: 301 GEORGIA ST STE 316
    VALLEJO, CA
    ZIP 94590
  • Facility Phone: 707 561-8008
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHOPRA C. HARNEET
  • NPI Number: 1003216896
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2094017
LAB Type Home Health Agency
Facility Name LUXOR CARE HOME HEALTH SERVICES
Street 301 GEORGIA ST STE 316
City VALLEJO
State CA
ZIP 94590
Phone 707 561-8008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Home Health Agency
Lab Director CHOPRA C. HARNEET

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