05D2105748 CLIA NUMBER - ELYSIUM HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2105748
  • Facility Name: ELYSIUM HOSPICE CARE, INC
  • Facility Address: 717 BREA CANYON RD, STE 3
    WALNUT, CA
    ZIP 91789
  • Facility Phone: 805 428-8302
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAUL S. USBORNE MD
  • NPI Number: 1396113726
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2105748
LAB Type Hospice
Facility Name ELYSIUM HOSPICE CARE, INC
Street 717 BREA CANYON RD, STE 3
City WALNUT
State CA
ZIP 91789
Phone 805 428-8302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Hospice
Lab Director PAUL S. USBORNE 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