05D1021362 CLIA NUMBER - PACIFIC HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D1021362
  • Facility Name: PACIFIC HOSPICE INC
  • Facility Address: 1998 N ARROWHEAD AVE
    SAN BERNARDINO, CA
    ZIP 92405
  • Facility Phone: 909 882-8466
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUNIL ARORA MD
  • NPI Number: 1407856487
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1021362
LAB Type Hospice
Facility Name PACIFIC HOSPICE INC
Street 1998 N ARROWHEAD AVE
City SAN BERNARDINO
State CA
ZIP 92405
Phone 909 882-8466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Hospice
Lab Director SUNIL ARORA MD

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