05D2058630 CLIA NUMBER - RELIEF HOSPICE, INC.

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Laboratory Demographics

CLIA Number: 05D2058630

Facility Name: RELIEF HOSPICE, INC.

Facility Address:
8081 STANTON AVE, STE 305
BUENA PARK, CA
ZIP 90620
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Facility Phone Number: 714 484-0477

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1497022156

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2058630
LAB Type	Hospice
Facility Name	RELIEF HOSPICE, INC.
Street	8081 STANTON AVE, STE 305
City	BUENA PARK
State	CA
ZIP	90620
Phone	714 484-0477
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024