05D2042869 CLIA NUMBER - GHC HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2042869
  • Facility Name: GHC HOSPICE INC
  • Facility Address: 906 W 9TH ST
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 252-7828
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GHASSAN HADI
  • NPI Number: 1255609020
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2042869
LAB Type Hospice
Facility Name GHC HOSPICE INC
Street 906 W 9TH ST
City UPLAND
State CA
ZIP 91786
Phone 909 252-7828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Hospice
Lab Director GHASSAN HADI

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