05D2035866 CLIA NUMBER - DESTINY HOSPICE CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2035866
  • Facility Name: DESTINY HOSPICE CARE, INC.
  • Facility Address: 12364 PERRIS BLVD.
    MORENO VALLEY, CA
    ZIP 92557
  • Facility Phone: 951 243-8871
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AUNG THU
  • NPI Number: 1194027672
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2035866
LAB Type Hospice
Facility Name DESTINY HOSPICE CARE, INC.
Street 12364 PERRIS BLVD.
City MORENO VALLEY
State CA
ZIP 92557
Phone 951 243-8871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Hospice
Lab Director AUNG THU

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