45D0901613 CLIA NUMBER - JEFFERSON COUNTY HOME HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 45D0901613
  • Facility Name: JEFFERSON COUNTY HOME HEALTH CARE INC
  • Facility Address: 2670 LAUREL AVENUE
    BEAUMONT, TX
    ZIP 77702
  • Facility Phone: 409 835-9909
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA DARDEN
  • NPI Number: 1558023457
  • Taxonomy: 207RC0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0901613
LAB Type Home Health Agency
Facility Name JEFFERSON COUNTY HOME HEALTH CARE INC
Street 2670 LAUREL AVENUE
City BEAUMONT
State TX
ZIP 77702
Phone 409 835-9909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Home Health Agency
Lab Director ANGELA DARDEN

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