05D2280662 CLIA NUMBER - JUVAN HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D2280662
  • Facility Name: JUVAN HOME HEALTH CARE
  • Facility Address: 2050 CHAPMAN AVE # 287
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 657 331-0762
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OCTAVIANO ROGES
  • NPI Number: 1700537396
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2280662
LAB Type Home Health Agency
Facility Name JUVAN HOME HEALTH CARE
Street 2050 CHAPMAN AVE # 287
City ORANGE
State CA
ZIP 92868
Phone 657 331-0762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2023
Certificate Expiration Date 4/23/2025
Facility Type Home Health Agency
Lab Director OCTAVIANO ROGES

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This page was last updated on: 3/20/2025