05D2058793 CLIA NUMBER - MORNING STAR PALLIATIVE & HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2058793
  • Facility Name: MORNING STAR PALLIATIVE & HOSPICE INC
  • Facility Address: 11651 STERLING AVE STE I
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 351-9905
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DEREK NGUYEN
  • NPI Number: 1184978124
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2058793
LAB Type Hospice
Facility Name MORNING STAR PALLIATIVE & HOSPICE INC
Street 11651 STERLING AVE STE I
City RIVERSIDE
State CA
ZIP 92503
Phone 951 351-9905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Hospice
Lab Director DEREK NGUYEN

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This page was last updated on: 6/4/2025