05D2066270 CLIA NUMBER - RELIANCE HOSPICE, INC

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Laboratory Demographics

CLIA Number: 05D2066270

Facility Name: RELIANCE HOSPICE, INC

Facility Address:
74130 COUNTRY CLUB DR STE 3
PALM DESERT, CA
ZIP 92260
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Facility Phone Number: 760 426-6924

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1396021143

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2066270
LAB Type	Hospice
Facility Name	RELIANCE HOSPICE, INC
Street	74130 COUNTRY CLUB DR STE 3
City	PALM DESERT
State	CA
ZIP	92260
Phone	760 426-6924
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

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