05D2055672 CLIA NUMBER - WELLHOUSE CARE, INC.

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Laboratory Demographics

CLIA Number: 05D2055672

Facility Name: WELLHOUSE CARE, INC.

Facility Address:
11354 MOUNTIAN VIEW AVE., STE. D
LOMA LINDA, CA
ZIP 92354
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Facility Phone Number: (909) 796-4270

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1548535370

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2055672
LAB Type	HOSPICE
Facility Name	WELLHOUSE CARE, INC.
Street	11354 MOUNTIAN VIEW AVE., STE. D
City	LOMA LINDA
State	CA
ZIP	92354
Phone	(909) 796-4270

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