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05D0931116 CLIA NUMBER - ODYSSEY HEALTHCARE OPERATING A, L P DBA KINDRED HOSPICE

Laboratory Demographics

CLIA Number: 05D0931116

Facility Name: ODYSSEY HEALTHCARE OPERATING A, L P DBA KINDRED HOSPICE

Facility Address:
36947 COOK STREET, BUILDING 10 SUITE 102
PALM DESERT, CA
ZIP 92211
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Facility Phone Number: 760 346-2816

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1043211931

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D0931116
LAB Type Hospice
Facility Name ODYSSEY HEALTHCARE OPERATING A, L P DBA KINDRED HOSPICE
Street 36947 COOK STREET, BUILDING 10 SUITE 102
City PALM DESERT
State CA
ZIP 92211
Phone 760 346-2816
CertificateType 4
CertificateEffectiveDate 9/19/2022
CertificateExpirationDate 9/18/2024
FacilityType Waiver

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