05D2060750 CLIA NUMBER - ASCENDIO HEALTH SYSTEMS INC

Laboratory Demographics

  • CLIA Code: 05D2060750
  • Facility Name: ASCENDIO HEALTH SYSTEMS INC
  • Facility Address: 1035 S MILLIKEN AVE STE I
    ONTARIO, CA
    ZIP 91761
  • Facility Phone: 909 605-2927
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ASHOURI ANOUSHEH
  • NPI Number: 1780927731
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Hospice
Lab Director ASHOURI ANOUSHEH

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This page was last updated on: 9/29/2025