05D2065991 CLIA NUMBER - HOLY CROSS HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2065991
  • Facility Name: HOLY CROSS HOSPICE, INC
  • Facility Address: 28 N OAK AVE STE 201
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 283-6588
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT CHAN
  • NPI Number: 1053680280
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2065991
LAB Type Hospice
Facility Name HOLY CROSS HOSPICE, INC
Street 28 N OAK AVE STE 201
City PASADENA
State CA
ZIP 91107
Phone 626 283-6588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Hospice
Lab Director ROBERT CHAN

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