05D2094061 CLIA NUMBER - ESSENTIAL CARE GROUP, INC.

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Laboratory Demographics

CLIA Number: 05D2094061

Facility Name: ESSENTIAL CARE GROUP, INC.

Facility Address:
1170 DURFEE AVE, STE K
SOUTH EL MONTE, CA
ZIP 91733
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Facility Phone Number: 818 561-4705

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1134534902

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2094061
LAB Type	Hospice
Facility Name	ESSENTIAL CARE GROUP, INC.
Street	1170 DURFEE AVE, STE K
City	SOUTH EL MONTE
State	CA
ZIP	91733
Phone	818 561-4705
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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