05D2066718 CLIA NUMBER - ADVANTAGE HOSPICE PROVIDERS, INC.

Laboratory Demographics

  • CLIA Code: 05D2066718
  • Facility Name: ADVANTAGE HOSPICE PROVIDERS, INC.
  • Facility Address: 1934 W 9TH ST UNIT B
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 296-7903
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GLENN HO MD
  • NPI Number: 1699109306
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2066718
LAB Type Hospice
Facility Name ADVANTAGE HOSPICE PROVIDERS, INC.
Street 1934 W 9TH ST UNIT B
City UPLAND
State CA
ZIP 91786
Phone 909 296-7903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Hospice
Lab Director GLENN HO MD

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