05D2024582 CLIA NUMBER - BRIO HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2024582
  • Facility Name: BRIO HOSPICE
  • Facility Address: 12588 CENTRAL AVE
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 606-4415
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT LADINES
  • NPI Number: 1992014062
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2024582
LAB Type Hospice
Facility Name BRIO HOSPICE
Street 12588 CENTRAL AVE
City CHINO
State CA
ZIP 91710
Phone 909 606-4415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Hospice
Lab Director ROBERT LADINES

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