05D1066324 CLIA NUMBER - ALPHA HEALTHCARE MANAGEMENT INC DBA ALPHA HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D1066324
  • Facility Name: ALPHA HEALTHCARE MANAGEMENT INC DBA ALPHA HOSPICE CARE
  • Facility Address: 373 VAN NESS AVE STE 260
    TORRANCE, CA
    ZIP 90501
  • Facility Phone: 310 771-0838
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MENDEZ
  • NPI Number: 1720147689
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1066324
LAB Type Hospice
Facility Name ALPHA HEALTHCARE MANAGEMENT INC DBA ALPHA HOSPICE CARE
Street 373 VAN NESS AVE STE 260
City TORRANCE
State CA
ZIP 90501
Phone 310 771-0838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Hospice
Lab Director ALEXANDER MENDEZ

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This page was last updated on: 6/4/2025