05D2106893 CLIA NUMBER - UNITEDCARE HOSPICE INC

Laboratory Demographics

CLIA Number: 05D2106893

Facility Name: UNITEDCARE HOSPICE INC

Facility Address:
11080 ARTESIA BLVD STE D
CERRITOS, CA
ZIP 90703
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Facility Phone Number: 562 584-4072

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1700281102

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2106893
LAB Type	Hospice
Facility Name	UNITEDCARE HOSPICE INC
Street	11080 ARTESIA BLVD STE D
City	CERRITOS
State	CA
ZIP	90703
Phone	562 584-4072
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	Waiver

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