05D1009093 CLIA NUMBER - PASSAGE ENTERPRISES, INC DBA COMMUNITY CARE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D1009093
  • Facility Name: PASSAGE ENTERPRISES, INC DBA COMMUNITY CARE HOSPICE
  • Facility Address: 222 W FOOTHILL BLVD
    GLENDORA, CA
    ZIP 91741
  • Facility Phone: 626 335-9759
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ZHI WEN LU
  • NPI Number: 1326045709
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1009093
LAB Type Hospice
Facility Name PASSAGE ENTERPRISES, INC DBA COMMUNITY CARE HOSPICE
Street 222 W FOOTHILL BLVD
City GLENDORA
State CA
ZIP 91741
Phone 626 335-9759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Hospice
Lab Director ZHI WEN LU

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