05D1048350 CLIA NUMBER - AVALON HOSPICE & PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 05D1048350
  • Facility Name: AVALON HOSPICE & PALLIATIVE CARE
  • Facility Address: 3914 MURPHY CANYON RD STE A226
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 751-0315
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ASIM G. ROY, MD
  • NPI Number: 1073546081
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1048350
LAB Type Hospice
Facility Name AVALON HOSPICE & PALLIATIVE CARE
Street 3914 MURPHY CANYON RD STE A226
City SAN DIEGO
State CA
ZIP 92123
Phone 858 751-0315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Hospice
Lab Director ASIM G. ROY, MD

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