05D2042873 CLIA NUMBER - ANGELS HOSPICE CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2042873
  • Facility Name: ANGELS HOSPICE CORPORATION
  • Facility Address: 15335 FAIRFIELD RANCH RD STE 125
    CHINO HILLS, CA
    ZIP 91709
  • Facility Phone: 909 393-1000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CARLOS M. DAYRIT JR
  • NPI Number: 1730409806
  • Taxonomy: 315D00000X - Hospice, Inpatient

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CLIA Record

Field Name Field Value
CLIA Number 05D2042873
LAB Type Hospice
Facility Name ANGELS HOSPICE CORPORATION
Street 15335 FAIRFIELD RANCH RD STE 125
City CHINO HILLS
State CA
ZIP 91709
Phone 909 393-1000
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 CARLOS M. DAYRIT JR

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