05D2003797 CLIA NUMBER - IVORY HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2003797
  • Facility Name: IVORY HOSPICE, INC
  • Facility Address: 233 E POMONA BLVD, SUITE A
    MONTEREY PARK, CA
    ZIP 91755
  • Facility Phone: 323 724-7802
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OSCAR CHIEN
  • NPI Number: 1790011310
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2003797
LAB Type Hospice
Facility Name IVORY HOSPICE, INC
Street 233 E POMONA BLVD, SUITE A
City MONTEREY PARK
State CA
ZIP 91755
Phone 323 724-7802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Hospice
Lab Director OSCAR CHIEN

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