05D2202680 CLIA NUMBER - JB&MM CONSULTING SERVICES LLC DBA - PACIFIC COAST HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2202680
  • Facility Name: JB&MM CONSULTING SERVICES LLC DBA - PACIFIC COAST HOME HEALTH SERVICES
  • Facility Address: 908 S VILLAGE OAKS DR, STE 200A
    COVINA, CA
    ZIP 91724
  • Facility Phone: 626 416-3421
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HUNG NGUYEN
  • NPI Number: 1073727558
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2202680
LAB Type Home Health Agency
Facility Name JB&MM CONSULTING SERVICES LLC DBA - PACIFIC COAST HOME HEALTH SERVICES
Street 908 S VILLAGE OAKS DR, STE 200A
City COVINA
State CA
ZIP 91724
Phone 626 416-3421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Home Health Agency
Lab Director HUNG NGUYEN

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