05D0864295 CLIA NUMBER - VITAS HEALTHCARE CORP OF CALIFORNIA

Laboratory Demographics

CLIA Number: 05D0864295

Facility Name: VITAS HEALTHCARE CORP OF CALIFORNIA

Facility Address:
310 COMMERCE STE 200
IRVINE, CA
ZIP 92602
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Facility Phone Number: 714 921-2273

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1295878304

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D0864295
LAB Type	Hospice
Facility Name	VITAS HEALTHCARE CORP OF CALIFORNIA
Street	310 COMMERCE STE 200
City	IRVINE
State	CA
ZIP	92602
Phone	714 921-2273
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024