05D2081393 CLIA NUMBER - VANGUARD HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2081393
  • Facility Name: VANGUARD HOSPICE CARE, INC
  • Facility Address: 770 MADNOLIA AVENUE, STE 2G
    CORONA, CA
    ZIP 92879
  • Facility Phone: 951 907-5386
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: XINKE CHEN, MD
  • NPI Number: 1356767818
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2081393
LAB Type Hospice
Facility Name VANGUARD HOSPICE CARE, INC
Street 770 MADNOLIA AVENUE, STE 2G
City CORONA
State CA
ZIP 92879
Phone 951 907-5386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Hospice
Lab Director XINKE CHEN, MD

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: 3/20/2025