05D2076732 CLIA NUMBER - MONZONES HOSPICE CARE LLC

Laboratory Demographics

  • CLIA Code: 05D2076732
  • Facility Name: MONZONES HOSPICE CARE LLC
  • Facility Address: 4959 PALO VERDE ST STE 200A
    MONTCLAIR, CA
    ZIP 91763
  • Facility Phone: 909 624-5146
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. HERMILITO VILLAR
  • NPI Number: 1255761508
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2076732
LAB Type Hospice
Facility Name MONZONES HOSPICE CARE LLC
Street 4959 PALO VERDE ST STE 200A
City MONTCLAIR
State CA
ZIP 91763
Phone 909 624-5146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Hospice
Lab Director DR. HERMILITO VILLAR

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