05D2086087 CLIA NUMBER - PACIFIC HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2086087
  • Facility Name: PACIFIC HOSPICE LLC
  • Facility Address: 11829 SOUTH ST STE 103
    CERRITOS, CA
    ZIP 90703
  • Facility Phone: 562 809-0988
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CARLOS M. DAVRIT, MD
  • NPI Number: 1598166068
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2086087
LAB Type Hospice
Facility Name PACIFIC HOSPICE LLC
Street 11829 SOUTH ST STE 103
City CERRITOS
State CA
ZIP 90703
Phone 562 809-0988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Hospice
Lab Director CARLOS M. DAVRIT, 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: 9/29/2025