05D2105773 CLIA NUMBER - DIGNITY HOSPICE CARE INC.

Laboratory Demographics

  • CLIA Code: 05D2105773
  • Facility Name: DIGNITY HOSPICE CARE INC.
  • Facility Address: 22030 MAIN ST STE 204
    CARSON, CA
    ZIP 90745
  • Facility Phone: 310 518-8774
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: UJJWALA DHEERIYA
  • NPI Number: 1427428788
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2105773
LAB Type Hospice
Facility Name DIGNITY HOSPICE CARE INC.
Street 22030 MAIN ST STE 204
City CARSON
State CA
ZIP 90745
Phone 310 518-8774
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 UJJWALA DHEERIYA

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