05D2058114 CLIA NUMBER - Cal Optima Pace

Laboratory Demographics

CLIA Number: 05D2058114

Facility Name: Cal Optima Pace

Facility Address:
13300 Garden Grove Blvd.,
Garden Grove, CA
ZIP 92843
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Facility Phone Number: (714) 468-1100

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1467870543

Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

CLIA Record

Field Name Field Value
CLIA Number 05D2058114
Facility Name Cal Optima Pace
Street 13300 Garden Grove Blvd.,
City Garden Grove
State CA
ZIP 92843
Phone 7144681100

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