05D0971207 CLIA NUMBER - PEC HOSPICE - GARDEN GROVE

Laboratory Demographics

  • CLIA Code: 05D0971207
  • Facility Name: PEC HOSPICE - GARDEN GROVE
  • Facility Address: 10507 GARDEN GROVE BOULEVARD
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 260-0226
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HARESH S. JHANGIANI MD
  • NPI Number: 1609960897
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D0971207
LAB Type Hospice
Facility Name PEC HOSPICE - GARDEN GROVE
Street 10507 GARDEN GROVE BOULEVARD
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 260-0226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Hospice
Lab Director HARESH S. JHANGIANI MD

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