05D2058626 CLIA NUMBER - CHARTER HOSPICE OF COLTON, LLC

Laboratory Demographics

CLIA Number: 05D2058626

Facility Name: CHARTER HOSPICE OF COLTON, LLC

Facility Address:
1007 E. COOLEY DRIVE, STE. 100
COLTON, CA
ZIP 92324
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Facility Phone Number: (909) 825-2969

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1689716797

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2058626
LAB Type HOSPICE
Facility Name CHARTER HOSPICE OF COLTON, LLC
Street 1007 E. COOLEY DRIVE, STE. 100
City COLTON
State CA
ZIP 92324
Phone (909) 825-2969

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