05D2122452 CLIA NUMBER - OASIS HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2122452
  • Facility Name: OASIS HOSPICE
  • Facility Address: 43845 10TH ST W STE 2C
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 206-7741
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: YOUNG JAE KO, MD
  • NPI Number: 1992132112
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2122452
LAB Type Hospice
Facility Name OASIS HOSPICE
Street 43845 10TH ST W STE 2C
City LANCASTER
State CA
ZIP 93534
Phone 661 206-7741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Hospice
Lab Director YOUNG JAE KO, MD

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