05D2055341 CLIA NUMBER - ST MARY'S HOSPICE INC

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Laboratory Demographics

CLIA Number: 05D2055341

Facility Name: ST MARY'S HOSPICE INC

Facility Address:
20533 E WALNUT DR N, STE B5
DIAMOND BAR, CA
ZIP 91789
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Facility Phone Number: (626) 858-6100

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1447517073

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2055341
LAB Type	HOSPICE
Facility Name	ST MARY'S HOSPICE INC
Street	20533 E WALNUT DR N, STE B5
City	DIAMOND BAR
State	CA
ZIP	91789
Phone	(626) 858-6100

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This page was last updated on: 5/11/2023