05D2056870 CLIA NUMBER - OC HOSPICE

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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	(714) 838-1542

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