05D2112541 CLIA NUMBER - FIRST SOLUTION HOSPICE CARE INC.

Laboratory Demographics

CLIA Number: 05D2112541

Facility Name: FIRST SOLUTION HOSPICE CARE INC.

Facility Address:
4959 PALO VERDE ST, STE 205B
MONTCLAIR, CA
ZIP 91763
Get Directions

Facility Phone Number: 909 675-7927

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1063879484

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2112541
LAB Type	Hospice
Facility Name	FIRST SOLUTION HOSPICE CARE INC.
Street	4959 PALO VERDE ST, STE 205B
City	MONTCLAIR
State	CA
ZIP	91763
Phone	909 675-7927
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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