05D2101194 CLIA NUMBER - LAKESIDE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2101194
  • Facility Name: LAKESIDE HOSPICE CARE INC
  • Facility Address: 800 N HARBOR BLVD, STE A
    LA HABRA, CA
    ZIP 90631
  • Facility Phone: 714 871-0099
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANWAR ABDELHADI
  • NPI Number: 1780012260
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2101194
LAB Type Hospice
Facility Name LAKESIDE HOSPICE CARE INC
Street 800 N HARBOR BLVD, STE A
City LA HABRA
State CA
ZIP 90631
Phone 714 871-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Hospice
Lab Director ANWAR ABDELHADI

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