05D1061035 CLIA NUMBER - AMERIHEALTH HOSPICE PROVIDER, INC

Laboratory Demographics

  • CLIA Code: 05D1061035
  • Facility Name: AMERIHEALTH HOSPICE PROVIDER, INC
  • Facility Address: 1323 W COLTON AVE STE 200
    REDLANDS, CA
    ZIP 92374
  • Facility Phone: 909 793-7558
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NORMAN ORR, DO
  • NPI Number: 1396957197
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1061035
LAB Type Hospice
Facility Name AMERIHEALTH HOSPICE PROVIDER, INC
Street 1323 W COLTON AVE STE 200
City REDLANDS
State CA
ZIP 92374
Phone 909 793-7558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Hospice
Lab Director NORMAN ORR, DO

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