05D2090497 CLIA NUMBER - ALLIED CARE HOSPICE, INC.

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Laboratory Demographics

CLIA Number: 05D2090497

Facility Name: ALLIED CARE HOSPICE, INC.

Facility Address:
12362 BEACH BLVD, #26
STANTON, CA
ZIP 90680
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Facility Phone Number: 909 989-6246

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1508278755

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2090497
LAB Type	Hospice
Facility Name	ALLIED CARE HOSPICE, INC.
Street	12362 BEACH BLVD, #26
City	STANTON
State	CA
ZIP	90680
Phone	909 989-6246
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

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