05D1006722 CLIA NUMBER - MISSION HOSPICE

Laboratory Demographics

  • CLIA Code: 05D1006722
  • Facility Name: MISSION HOSPICE
  • Facility Address: 2555 E COLORADO BLVD
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 799-2727
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAMES L. MELTZER MD
  • NPI Number: 1982635140
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1006722
LAB Type Hospice
Facility Name MISSION HOSPICE
Street 2555 E COLORADO BLVD
City PASADENA
State CA
ZIP 91107
Phone 626 799-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Hospice
Lab Director JAMES L. MELTZER MD

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