05D2060750 CLIA NUMBER - ASCENDIO HEALTH SYSTEMS INC

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Laboratory Demographics

CLIA Number: 05D2060750

Facility Name: ASCENDIO HEALTH SYSTEMS INC

Facility Address:
1035 S MILLIKEN AVE STE I
ONTARIO, CA
ZIP 91761
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Facility Phone Number: 909 605-2927

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1780927731

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2060750
LAB Type	Hospice
Facility Name	ASCENDIO HEALTH SYSTEMS INC
Street	1035 S MILLIKEN AVE STE I
City	ONTARIO
State	CA
ZIP	91761
Phone	909 605-2927
CertificateType	4
CertificateEffectiveDate	6/17/2023
CertificateExpirationDate	6/16/2025
FacilityType	Waiver

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