05D2029541 CLIA NUMBER - PREMIUM HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2029541
  • Facility Name: PREMIUM HOSPICE INC
  • Facility Address: 12241 FIRESTONE BLVD STE A & B
    NORWALK, CA
    ZIP 90650
  • Facility Phone: 562 929-7221
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALAN A. FRISCHER
  • NPI Number: 1063712214
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2029541
LAB Type Hospice
Facility Name PREMIUM HOSPICE INC
Street 12241 FIRESTONE BLVD STE A & B
City NORWALK
State CA
ZIP 90650
Phone 562 929-7221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Hospice
Lab Director ALAN A. FRISCHER

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