05D2044504 CLIA NUMBER - ARBOR VITAE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2044504
  • Facility Name: ARBOR VITAE HOSPICE CARE INC
  • Facility Address: 1780 TOWN AND COUNTRY DR, UNIT 106
    NORCO, CA
    ZIP 92860
  • Facility Phone: 951 735-3485
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FARO T. OWIESY
  • NPI Number: 1578831129
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2044504
LAB Type Hospice
Facility Name ARBOR VITAE HOSPICE CARE INC
Street 1780 TOWN AND COUNTRY DR, UNIT 106
City NORCO
State CA
ZIP 92860
Phone 951 735-3485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Hospice
Lab Director FARO T. OWIESY

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