05D2069100 CLIA NUMBER - ALPHA CARE HOSPICE INC.

Laboratory Demographics

  • CLIA Code: 05D2069100
  • Facility Name: ALPHA CARE HOSPICE INC.
  • Facility Address: 12598 CENTRAL AVE SUITE 215
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 628-3989
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: REYNALDO B. CASTILLO
  • NPI Number: 1700251444
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2069100
LAB Type Hospice
Facility Name ALPHA CARE HOSPICE INC.
Street 12598 CENTRAL AVE SUITE 215
City CHINO
State CA
ZIP 91710
Phone 909 628-3989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Hospice
Lab Director REYNALDO B. CASTILLO

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