05D2186623 CLIA NUMBER - CARE CIRCLE LLC

Laboratory Demographics

  • CLIA Code: 05D2186623
  • Facility Name: CARE CIRCLE LLC
  • Facility Address: 1135 E ROUTE 66, STE 209
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 521-9051
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROY H. JACKSON
  • NPI Number: 1134762883
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2186623
LAB Type Home Health Agency
Facility Name CARE CIRCLE LLC
Street 1135 E ROUTE 66, STE 209
City GLENDORA
State CA
ZIP 91740
Phone 626 521-9051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Home Health Agency
Lab Director ROY H. JACKSON

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