05D2078740 CLIA NUMBER - BEACON HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2078740
  • Facility Name: BEACON HOSPICE CARE
  • Facility Address: 221 W F STREET
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 608-7555
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DOMINGO C. BARRIENTOS
  • NPI Number: 1245674217
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2078740
LAB Type Hospice
Facility Name BEACON HOSPICE CARE
Street 221 W F STREET
City ONTARIO
State CA
ZIP 91762
Phone 909 608-7555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Hospice
Lab Director DOMINGO C. BARRIENTOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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