05D1085758 CLIA NUMBER - ST LUKE'S HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D1085758
  • Facility Name: ST LUKE'S HOSPICE, INC
  • Facility Address: 3333 BREA CANYON RD, STE 221
    DIAMOND BAR, CA
    ZIP 91765
  • Facility Phone: 909 444-1100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CARLOS DAYRIT
  • NPI Number: 1326227604
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1085758
LAB Type Hospice
Facility Name ST LUKE'S HOSPICE, INC
Street 3333 BREA CANYON RD, STE 221
City DIAMOND BAR
State CA
ZIP 91765
Phone 909 444-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Hospice
Lab Director CARLOS DAYRIT

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