05D2077010 CLIA NUMBER - STONE CREEK HEALTHCARE LLC DBA BELLA TERRA HOSPICE OF THE DESERT

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Laboratory Demographics

CLIA Number: 05D2077010

Facility Name: STONE CREEK HEALTHCARE LLC DBA BELLA TERRA HOSPICE OF THE DESERT

Facility Address:
1750 E ARENAS RD, STE 21
PALM SPRINGS, CA
ZIP 92262
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Facility Phone Number: 760 904-6070

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1366785842

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2077010
LAB Type	Hospice
Facility Name	STONE CREEK HEALTHCARE LLC DBA BELLA TERRA HOSPICE OF THE DESERT
Street	1750 E ARENAS RD, STE 21
City	PALM SPRINGS
State	CA
ZIP	92262
Phone	760 904-6070
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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