05D2031406 CLIA NUMBER - LOS FELIZ HOSPICE HEALTH CARE

Home > CLIA Lookup > 05D2031406

Laboratory Demographics

CLIA Number: 05D2031406

Facility Name: LOS FELIZ HOSPICE HEALTH CARE

Facility Address:
732 N DIAMOND BAR BLVD, STE 228
DIAMOND BAR, CA
ZIP 91765
Get Directions

Facility Phone Number: 909 396-0240

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1366723181

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2031406
LAB Type	Hospice
Facility Name	LOS FELIZ HOSPICE HEALTH CARE
Street	732 N DIAMOND BAR BLVD, STE 228
City	DIAMOND BAR
State	CA
ZIP	91765
Phone	909 396-0240
CertificateType	4
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024