05D2112980 CLIA NUMBER - CALSTRO HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2112980
  • Facility Name: CALSTRO HOSPICE INC
  • Facility Address: 4959 PALO VERDE STREET, SUITE 108B
    MONTCLAIR, CA
    ZIP 91763
  • Facility Phone: 909 399-0700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMARISH D. PRADHAN
  • NPI Number: 1245603109
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2112980
LAB Type Hospice
Facility Name CALSTRO HOSPICE INC
Street 4959 PALO VERDE STREET, SUITE 108B
City MONTCLAIR
State CA
ZIP 91763
Phone 909 399-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Hospice
Lab Director AMARISH D. PRADHAN

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