05D2198134 CLIA NUMBER - JMJ HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2198134
  • Facility Name: JMJ HOSPICE CARE, INC
  • Facility Address: 8640 BRENTWOOD BLVD SUITE D1
    BRENTWOOD, CA
    ZIP 94513
  • Facility Phone: 925 392-8536
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: IRINA KOLOMEY
  • NPI Number: 1609497395
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2198134
LAB Type Hospice
Facility Name JMJ HOSPICE CARE, INC
Street 8640 BRENTWOOD BLVD SUITE D1
City BRENTWOOD
State CA
ZIP 94513
Phone 925 392-8536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Hospice
Lab Director IRINA KOLOMEY

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