05D2055672 CLIA NUMBER - Wellhouse Care, Inc.

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: 12/19/2019