05D2296517 CLIA NUMBER - MOJO HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2296517
  • Facility Name: MOJO HOME HEALTH INC
  • Facility Address: 22600 SAVI RANCH ROAD SUITE A4
    YORBA LINDA, CA
    ZIP 92887
  • Facility Phone: 714 718-0864
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OCTAVIANO ROGES
  • NPI Number: 1881385557
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2296517
LAB Type Home Health Agency
Facility Name MOJO HOME HEALTH INC
Street 22600 SAVI RANCH ROAD SUITE A4
City YORBA LINDA
State CA
ZIP 92887
Phone 714 718-0864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Home Health Agency
Lab Director OCTAVIANO ROGES

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