05D0953011 CLIA NUMBER - HOSPICE OF NORTH COAST

Laboratory Demographics

CLIA Number: 05D0953011

Facility Name: HOSPICE OF NORTH COAST

Facility Address:
2525 PIO PICO DR STE 301
CARLSBAD, CA
ZIP 92008
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Facility Phone Number: 760 431-4100

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1992704506

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D0953011
LAB Type	Hospice
Facility Name	HOSPICE OF NORTH COAST
Street	2525 PIO PICO DR STE 301
City	CARLSBAD
State	CA
ZIP	92008
Phone	760 431-4100
CertificateType	4
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Waiver

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