05D2117851 CLIA NUMBER - AVON HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2117851
  • Facility Name: AVON HOSPICE CARE INC
  • Facility Address: 9007 ARROW ROUTE, STE 180
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 481-7579
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT A. LOERA
  • NPI Number: 1124365184
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2117851
LAB Type Hospice
Facility Name AVON HOSPICE CARE INC
Street 9007 ARROW ROUTE, STE 180
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 481-7579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Hospice
Lab Director ROBERT A. LOERA

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