45D1000360 CLIA NUMBER - JCH INC DBA HARBOR HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D1000360
  • Facility Name: JCH INC DBA HARBOR HOME HEALTH
  • Facility Address: 3130 STAGG DRIVE
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 835-1670
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: THERESA G. COUSINS
  • NPI Number: 1134128648
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1000360
LAB Type Home Health Agency
Facility Name JCH INC DBA HARBOR HOME HEALTH
Street 3130 STAGG DRIVE
City BEAUMONT
State TX
ZIP 77701
Phone 409 835-1670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Home Health Agency
Lab Director THERESA G. COUSINS

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