05D2031412 CLIA NUMBER - AMBERCITY HOSPICE INC.

Laboratory Demographics

  • CLIA Code: 05D2031412
  • Facility Name: AMBERCITY HOSPICE INC.
  • Facility Address: 3590 CENTRAL AVE. STE.#207
    RIVERSIDE, CA
    ZIP 92506
  • Facility Phone: 951 686-8100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAVID FUKUDA
  • NPI Number: 1649580929
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2031412
LAB Type Hospice
Facility Name AMBERCITY HOSPICE INC.
Street 3590 CENTRAL AVE. STE.#207
City RIVERSIDE
State CA
ZIP 92506
Phone 951 686-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Hospice
Lab Director DAVID FUKUDA

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