15D1026791 CLIA NUMBER - CJ'S HOMECARE

Laboratory Demographics

  • CLIA Code: 15D1026791
  • Facility Name: CJ'S HOMECARE
  • Facility Address: 1002 CENTRAL AVE
    ANDERSON, IN
    ZIP 46016
  • Facility Phone: 765 378-4600
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAYLEEN ROBERTS
  • NPI Number: 1417900085
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1026791
LAB Type Home Health Agency
Facility Name CJ'S HOMECARE
Street 1002 CENTRAL AVE
City ANDERSON
State IN
ZIP 46016
Phone 765 378-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Home Health Agency
Lab Director JAYLEEN ROBERTS

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