05D2056870 CLIA NUMBER - Oc Hospice

Laboratory Demographics

CLIA Number: 05D2056870

Facility Name: Oc Hospice

Facility Address:
13522 Newport Ave., Ste. 200,
Tustin, CA
ZIP 92780
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Facility Phone Number: (714) 838-1542

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1780989509

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2056870
LAB Type HOSPICE
Facility Name Oc Hospice
Street 13522 Newport Ave., Ste. 200,
City Tustin
State CA
ZIP 92780
Phone 7148381542

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This page was last updated on: 5/19/2019